Wang Ai-min, Yin Xiang, Sun Hong-zhen, DU Quan-yin, Wang Zi-ming
Department of Orthopaedic and Traumatic Surgery, Daping Hospital/ Research Institute of Surgery, Third Military Medical University, Chongqing 400042, China.
Chin J Traumatol. 2008 Oct;11(5):283-7. doi: 10.1016/s1008-1275(08)60057-7.
To discuss damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma.
The data of 53 cases of severe polytrauma who had mainly sustained orthopaedic trauma were retrospectively analyzed. And the methods and timing of damage control orthopaedics were discussed in this study.
We succeeded in rescuing the lives of all the 53 patients, and 38 patients returned to their former work.
Injury Severity Score (ISS(90)) should be 17 in severe polytrauma patients, but in severe polytrauma patients who have mainly sustained orthopaedic trauma, the ISS(90) of bone and joint injuries should be 16. We recommend that primary minimally-invasive external fracture stabilization should be made for extremities and pelvis in these patients to avoid additional surgical trauma and that definitive secondary fracture care should be performed after medical stabilization for these patients in intensive care unit (ICU).
探讨损伤控制骨科在53例以骨科创伤为主的严重多发伤患者中的应用。
回顾性分析53例以骨科创伤为主的严重多发伤患者的数据。并在本研究中讨论损伤控制骨科的方法和时机。
成功救治了所有53例患者，38例患者恢复原工作。
严重多发伤患者损伤严重度评分（ISS(90)）应≥17，但以骨科创伤为主的严重多发伤患者，骨关节损伤的ISS(90)应≥16。建议对这类患者的四肢和骨盆进行一期微创外固定以避免额外的手术创伤，并在重症监护病房（ICU）对患者进行医疗稳定后进行确定性的二期骨折治疗。
