van Stigt Sander F L, Tan Edward C T H, van Vugt Arie B
Ziekenhuis Gelderse Vallei, afd. Heelkunde, Ede, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A500.
Two patients were involved in a high-energy trauma that resulted in an unstable pelvic fracture. The first patient, a 51-year-old woman, was trapped between two boats. At our hospital she received a traumatic pelvic orthotic device (T-POD), followed by angiography with embolisation. Three days post-trauma she went to the operating room for definitive surgical treatment of her Tile C pelvic fracture. The second patient, a 19-year-old man, was in a car that collided with a tree. He also received a T-POD, but remained haemodynamically unstable. He went to the operating room for damage control surgery, followed by an angiography with embolisation. Two days later, definitive surgical treatment of the Tile C pelvic fracture took place. These cases illustrate the variety of possible treatments for patients with unstable pelvic fractures. Choice of treatment depends on the character of the attending injuries and the haemodynamic situation. Fast consultation should take place with a hospital experienced in the initial care and treatment of unstable pelvic fractures.
两名患者遭受高能量创伤，导致骨盆骨折不稳定。第一名患者是一名51岁女性，被困在两艘船之间。在我院，她接受了创伤性骨盆矫形器（T-POD）治疗，随后进行了血管造影和栓塞治疗。创伤后三天，她前往手术室接受Tile C型骨盆骨折的确定性手术治疗。第二名患者是一名19岁男性，乘坐的汽车与一棵树相撞。他也接受了T-POD治疗，但血流动力学仍不稳定。他前往手术室进行损伤控制手术，随后进行了血管造影和栓塞治疗。两天后，对Tile C型骨盆骨折进行了确定性手术治疗。这些病例说明了骨盆骨折不稳定患者可能的各种治疗方法。治疗方法的选择取决于伴随损伤的性质和血流动力学情况。应尽快咨询在骨盆骨折不稳定的初始护理和治疗方面经验丰富的医院。
