Department of Radiology, Leeds Teaching Hospitals, Leeds, UK.
Eur J Radiol. 2010 Apr;74(1):16-23. doi: 10.1016/j.ejrad.2010.01.025. Epub 2010 Mar 12.
Pelvic fractures are common in polytrauma and continue to pose a difficult management dilemma for even the most experienced clinicians. Due to the high energy mechanisms involved, there are often multiple other injuries and many specialists may be involved. Deriving an effective management strategy relies on early diagnosis and prioritisation of the most immediately life-threatening injuries. Contrary to ATLS advice, CT can be used to facilitate this even in the haemodynamically unstable patient. This article defines the role of CT in pelvic fractures and provides an overview of fracture classification.
骨盆骨折在多发创伤中很常见，即使是经验最丰富的临床医生，骨盆骨折仍然是一个棘手的治疗难题。由于涉及的能量很高，通常会有多个其他损伤，并且可能会涉及许多专家。制定有效的治疗策略取决于早期诊断和对最危及生命的损伤的优先处理。与 ATLS 建议相反，即使在血流动力学不稳定的患者中，也可以使用 CT 来促进这一过程。本文定义了 CT 在骨盆骨折中的作用，并概述了骨折的分类。
