成人骨盆骨折及相关损伤的重要性——当前的多学科方法
Pelvic Fractures in Adults and the Importance of Associated Injuries-A Current Multi-Disciplinary Approach.
作者信息
Ohla Jakub, Walus Piotr, Wiciński Michał, Małkowski Bartłomiej, Turoń Bartosz, Jabłoński Adam, Gawryjołek Michał, Kellett Katie, Zabrzyński Jan
机构信息
Department of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-092 Bydgoszcz, Poland.
Department of Orthopaedics and Traumatology, Faculty of Medicine, Jan Kochanowski University in Kielce, 25-001 Kielce, Poland.
出版信息
Clin Pract. 2025 Jul 11;15(7):130. doi: 10.3390/clinpract15070130.
BACKGROUND
Pelvic ring fractures are a significant and growing health problem in the field of trauma and orthopedic surgery. The aim of this paper was to present a concise description of these musculoskeletal injuries, available classification systems, and vascular and genitourinary complications.
RESULTS
The most common complications of serious pelvic ring fractures are arterial and venous hemorrhages, as well as urethral injuries. Arterial hemorrhages most often originate from the trunk or branches of the iliac artery, and the standard treatment is pelvic stabilization and implementation of intravascular procedures. In the case of venous hemorrhages, peritoneal pelvic packing is the most important.
CONCLUSIONS
A multi-disciplinary approach and treatment algorithmization are important to facilitate the prioritization of therapeutic procedures. Treatment of patients with pelvic ring fractures should take place in specialized trauma centers.
背景
骨盆环骨折在创伤和骨科手术领域是一个重大且日益严重的健康问题。本文旨在简要描述这些肌肉骨骼损伤、现有的分类系统以及血管和泌尿生殖系统并发症。
结果
严重骨盆环骨折最常见的并发症是动脉和静脉出血以及尿道损伤。动脉出血最常源于髂动脉主干或分支，标准治疗方法是骨盆固定和血管内操作。对于静脉出血，盆腔腹膜填塞是最重要的。
结论
多学科方法和治疗流程化对于促进治疗程序的优先排序很重要。骨盆环骨折患者的治疗应在专门的创伤中心进行。
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