Department of Orthopaedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2021 Aug 12;59(240):802-804. doi: 10.31729/jnma.5270.
Open pelvic fractures are rare but represent a serious clinical problem with high mortality rates. Acute mortality is often associated with haemorrhage and delayed mortality is most often associated with sepsis and multiple organ failure. An aggressive multidisciplinary approach is of paramount importance to prevent catastrophe. It involves emergency resuscitation, stabilization of unstable fracture with an external fixator, and faecal diversion for rectal injury. Here, a case of open pelvic fracture with rectal laceration has been presented.
开放性骨盆骨折较为罕见，但却是一种严重的临床问题，其死亡率较高。急性死亡率通常与出血有关，而迟发性死亡率通常与脓毒症和多器官衰竭有关。积极的多学科治疗方法对于预防灾难至关重要。它包括紧急复苏、使用外固定器稳定不稳定的骨折、以及直肠损伤的粪便转流。本文介绍了一例伴有直肠撕裂伤的开放性骨盆骨折病例。
