Seiler H
Abteilung Unfall-, Hand-, Plastische Chirurgie, Zentralkrankenhaus Reinkenheide, Bremerhaven.
Unfallchirurg. 1992 Apr;95(4):181-4.
Eighty-five percent of the patients with pelvic injuries have multiple injuries; the mortality averages 40%. The frequency of laparotomy is about 35%, predominantly because of rupture of the spleen and liver and less often because of rupture of the bladder. New osteosynthesis techniques were developed in an attempt to find better means of local tamponade. After acute cheilotomy, a simple means of ventral internal fixation should always be used. Dorsal stabilization techniques, if required, should seldom be done in the acute setting. Slätis-type external fixation as an isolated mode of stabilization is insufficient in unstable injuries.
85%的骨盆损伤患者伴有多发伤；死亡率平均为40%。剖腹手术的频率约为35%，主要原因是脾和肝破裂，较少见的原因是膀胱破裂。人们研发了新的骨固定技术，试图找到更好的局部压迫止血方法。急性唇切开术后，应始终采用一种简单的腹内固定方法。如有必要，在急性期很少进行背侧稳定技术。作为一种单独的稳定方式，Slätis型外固定对于不稳定损伤是不够的。
