Beal S L, Blaisdell F W
Department of Surgery, University of California, Davis.
J Trauma. 1989 Oct;29(10):1346-51.
Traumatic hemipelvectomy is a catastrophic injury resulting from violent blunt shearing forces which cause massive skin, bone, and soft-tissue destruction. The initial extent of the injury as well as the complexity of the consequent problems is staggering. As such it constitutes one of the major challenges seen by trauma surgeons. Patients surviving traumatic hemipelvectomy are rare. We found a total of 36 cases reported in this century. The University of California at Davis General Surgery Trauma Service admitted 9,369 major trauma victims from June 1985 to May 1988. During this 3-year period eight patients sustained a traumatic hemipelvectomy, of whom three survived. Given the complexity, yet rarity, of this injury, a review of the world literature was undertaken to compile collective experiences to aid surgeons in the management of this injury.
创伤性半侧骨盆切除术是一种由剧烈钝性剪切力导致的灾难性损伤，这种力量会造成大面积的皮肤、骨骼和软组织破坏。损伤的初始范围以及随之而来问题的复杂性令人震惊。因此，它是创伤外科医生面临的主要挑战之一。创伤性半侧骨盆切除术后存活的患者非常罕见。我们发现本世纪共报道了36例。1985年6月至1988年5月期间，加利福尼亚大学戴维斯分校普通外科创伤科收治了9369名严重创伤患者。在这3年期间，有8名患者接受了创伤性半侧骨盆切除术，其中3人存活。鉴于这种损伤的复杂性和罕见性，我们查阅了世界文献，以汇总相关经验，帮助外科医生处理此类损伤。
