Cohen M A, Sadler A H
Albert Einstein College of Medicine, Yeshiva University, Bronx, New York.
Orthop Rev. 1986 Mar;15(3):142-53.
Fractures of the pelvis result in high morbidity and mortality as a result of uncontrolled hemorrhage and associated soft tissue damage. Early reduction and fixation of these fractures has been shown to result in control of hemorrhage, decreased morbidity and mortality, and improved function. Seventeen pelvic fractures, so treated, are reported. Despite a high complication rate of almost 75%, surgical fixation resulted in rapid control of hemorrhage, restoration of hip joint congruity, early mobilization of the patient, and decreased incidence of decubitus ulcers, bronchopneumonia, thrombophlebitis, and urinary tract infection.
骨盆骨折由于无法控制的出血和相关软组织损伤，导致高发病率和死亡率。这些骨折的早期复位和固定已被证明可控制出血、降低发病率和死亡率并改善功能。本文报告了17例接受此类治疗的骨盆骨折。尽管并发症发生率高达近75%，但手术固定可迅速控制出血、恢复髋关节的一致性、使患者早期活动，并降低褥疮、支气管肺炎、血栓性静脉炎和尿路感染的发生率。
