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[骨盆创伤——诊断与治疗的挑战]

[Pelvic trauma--a diagnostic and therapeutic challenge].

作者信息

Maurer F

机构信息

Berufsgenossenschaftliche Unfallklinik Tübingen.

出版信息

Aktuelle Traumatol. 1993 Jul;23 Suppl 1:42-9.

PMID:8104382
Abstract

Patients with pelvic trauma often have other multiple injuries that cause special problems. Therefore a quick and thorough diagnosis as well as therapeutic management according to the special situation and findings is necessary. Effective cooperation of all the different specialists concerned with the treatment of the patient is mandatory. Massive blood loss immediately after trauma is life-threatening to the patient. To cope with bleeding, all non-invasive measures available should be used. Stable injuries of the pelvis are treated conservatively. In cases of instability external fixation of the pelvis is usually performed first. Change over to internal stabilisation and osteosynthesis should be tried as soon as possible. The different procedures for treatment are associated with specific risks and complications.

摘要

骨盆创伤患者常伴有其他多种损伤,从而引发特殊问题。因此,根据具体情况和检查结果进行快速、全面的诊断以及治疗管理很有必要。所有参与患者治疗的不同专科医生之间进行有效协作是必不可少的。创伤后立即出现的大量失血对患者生命构成威胁。为应对出血,应采用所有可用的非侵入性措施。骨盆稳定型损伤采用保守治疗。对于不稳定型损伤,通常首先进行骨盆外固定。应尽快尝试转为内固定和骨合成。不同的治疗方法会伴有特定的风险和并发症。

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1
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