Govender S, Sham A, Singh B
Department of Orthopaedic and General Surgery, University of Natal, Congella, Durban, South Africa.
Injury. 1990 Nov;21(6):373-6. doi: 10.1016/0020-1383(90)90122-b.
We reviewed 32 patients with open pelvic fractures treated over a 5-year period. Eleven patients had isolated fractures of the ilium and in 21 patients pelvic ring disruption was associated with a perineal laceration. Three patients died from massive haemorrhage soon after admission and one patient from severe sepsis. Early pelvic stabilization and meticulous attention to the soft tissue injury proved invaluable in the management of open unstable pelvic fractures.
我们回顾了在5年期间接受治疗的32例开放性骨盆骨折患者。11例患者为孤立性髂骨骨折，21例患者骨盆环破裂合并会阴撕裂伤。3例患者入院后不久死于大出血，1例死于严重脓毒症。早期骨盆稳定及对软组织损伤的精心处理在开放性不稳定骨盆骨折的治疗中被证明具有极高价值。
