Smith R J
J Natl Med Assoc. 1991 Mar;83(3):265-8.
This report documents a patient with an open pelvic fracture with gross contamination and partial avulsion of soft tissues with transection of femoral artery and vein, femoral nerve, and a stretch injury to the sciatic nerve. Initially, an attempt was made to treat with above-knee amputation, but due to massive soft tissue loss, this was not feasible. A left hemipelvectomy was done with closure of the wound. The patient required 14 units of blood. He was discharged and is now ambulatory with a prosthesis.
本报告记录了一名开放性骨盆骨折患者,伴有严重污染、软组织部分撕脱、股动静脉及股神经横断,坐骨神经有牵拉伤。最初尝试行膝上截肢治疗,但因大量软组织缺失,此方法不可行。遂行左侧半骨盆切除术并缝合伤口。患者需要14单位血液。他已出院,现在使用假肢能行走。