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急性期不稳定骨盆骨折的处理(骨盆损伤控制手术)

[Management of unstable pelvic fracture in the acute phase (pelvic damage control surgery)].

作者信息

Pavelka T, Kuntscher V, Grill R, Chmelová J, Dzupa V

机构信息

Klinika ortopedie a traumatologie pohybového ústrojí LF UK a FNsP, Plzeñ.

出版信息

Acta Chir Orthop Traumatol Cech. 2009 Feb;76(1):15-9.

Abstract

Pelvic fractures are serious injuries. For the diagnosis and treatment of unstable pelvic ring fracture in a haemodynamically unstable patient, it is necessary to use standard procedures with the objective to stabilise both blood circulation and the pelvic ring. According to the state of the patient, the choice is between life-saving surgery, damage control surgery and procedures of early or delayed stabilisation of the pelvic ring. The survival of injured patients as well as their further health condition will depend on the method of treatment used in the first hours after injury.

摘要

骨盆骨折是严重的损伤。对于血流动力学不稳定的患者的不稳定骨盆环骨折的诊断和治疗,有必要采用标准程序,目的是稳定血液循环和骨盆环。根据患者的状况,选择在挽救生命的手术、损伤控制手术以及骨盆环早期或延迟稳定手术之间进行。受伤患者的生存以及他们的后续健康状况将取决于受伤后最初几个小时所采用的治疗方法。

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