Emerman C E
JACEP. 1979 Aug;8(8):312-5. doi: 10.1016/s0361-1124(79)80371-8.
A retrospective study of 117 cases of pelvic fracture was undertaken to determine the incidence of associated abdominopelvic injury. Fractures of the pubic rami were found to be most common. Seventeen patients (15%) had significant intra-abdominal or genitourinay injury. The bladder and spleen were injured most often. Clinical evaluation, or peritoneal lavage, gave an impression of abdominopelvic visceral injury in the presence or absence of demonstrable injury. Seventy-three of 84 (87%) patients who had urinalyses in the emergency department had microscopic or gross hematuria. Of these, only those with gross hematuria had significant urologic injury. There were four fatalities.
对117例骨盆骨折患者进行了一项回顾性研究，以确定相关腹盆腔损伤的发生率。发现耻骨支骨折最为常见。17例患者（15%）有严重的腹腔内或泌尿生殖系统损伤。膀胱和脾脏是最常受伤的器官。临床评估或腹腔灌洗，无论是否有明显损伤，都能让人感觉到腹盆腔内脏器损伤。在急诊科进行尿液分析的84例患者中，有73例（87%）出现镜下或肉眼血尿。其中，只有肉眼血尿患者有严重的泌尿系统损伤。有4例死亡。
