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[手术治疗骨盆骨折的感染并发症]

[Infectious complications of surgically treatment pelvic fractures].

作者信息

Dzupa V, Ryantová V, Skála-Rosenbaum J, Vyhnánek F, Fric M, Grill R, Horák L, Pavelka T

机构信息

Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha.

出版信息

Acta Chir Orthop Traumatol Cech. 2008 Aug;75(4):293-6.

Abstract

Based on case histories, the authors draw attention to important infectious complications in patients surgically treated for pelvic injuries. These complications were recorded in four out of 75 patients (5.3%) undergoing surgery for pelvic fracture in the period from 2001 to 2005. The chief risk factors for the development of infection included the poor state of health of a polytraumatized patient in combination with a long stay in an acute care unit, and severe trauma and bleeding of soft tissue structures in B and C types of pelvic injury. Bacteriological findings showed the presence of several pathogenic species (Enterobacter cloacae, Citrobacter koseri, Pseudomonas aeruginosa and Klebsiella oxytoca) or multi-resistant bacteria (methicillin-resistant Staphylococcus aureus).

摘要

基于病例记录,作者提请注意骨盆损伤手术治疗患者中重要的感染性并发症。在2001年至2005年期间接受骨盆骨折手术的75例患者中,有4例(5.3%)记录了这些并发症。感染发生的主要危险因素包括多发伤患者健康状况差并长期住院,以及B型和C型骨盆损伤中软组织结构的严重创伤和出血。细菌学检查结果显示存在几种致病菌种(阴沟肠杆菌、科氏柠檬酸杆菌、铜绿假单胞菌和产酸克雷伯菌)或多重耐药菌(耐甲氧西林金黄色葡萄球菌)。

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