Smektala R, Hahn M P, Henkel M, Muhr G
Chirurgische Universitätsklinik und Poliklinik, BG-Kliniken Bergmannsheil, Bochum.
Zentralbl Chir. 1995;120(11):893-8.
Open pelvic fractures are rare fractures usually resulting from a severe trauma. Only 4 of 121 patients treated operatively in 1994 for a pelvic trauma showed an open injury. The high lethality is caused by two complications: in the early phase the patient is threatened by bleeding to death and in the following course sepsis determines the lethal outcome. Only an aggressive surgical management prevents or treats such complications. The presented concept comprises in the end the hemipelvectomy and an intensive care management for prophylaxis of septic complications. So the lethality was diminished.
开放性骨盆骨折是罕见的骨折，通常由严重创伤引起。1994年接受骨盆创伤手术治疗的121例患者中，只有4例为开放性损伤。高致死率由两种并发症导致：在早期，患者面临出血死亡的威胁，在后续病程中，败血症决定了致命结局。只有积极的手术治疗才能预防或治疗此类并发症。所提出的概念最终包括半骨盆切除术和预防感染并发症的重症监护管理。因此，致死率降低了。
