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[儿童骨盆骨折的性质及机制——因遭受来自前方和侧面呈对角方向的钝性固体物体撞击所致]

[The nature and mechanogenesis of pelvic bone fractures in children from exposure to the impact from blunt solid objects in a diagonal direction from the front and the side].

作者信息

Kil'diushov E M, Kuznetsov L E, Chumakova Iu V

出版信息

Sud Med Ekspert. 1996 Jan-Mar;39(1):3-6.

PMID:8669061
Abstract

Fifty cases of pelvic injuries in children are analyzed. The injuries were inflicted by blunt objects in the diagonal direction from the front from the side. Twenty-five of these (135 fractures) were expert cases, 25 (120 fractures) experimental observations. Both experimental and expert observations were divided into 3 groups depending on the angle between the direction of traumatic force action and the plane of the pelvic ring: those in the pelvic ring plane, and at angles of 45 and 90 degrees to it. In all the three groups strikes to the upper branch of the pubic bone with blunt objects from the front from the side in the diagonal direction led to development of various strained deformed states of the pelvis, each of which was characterized by specific mechanogenesis, localization, and morphology of fractures.

摘要

对50例儿童骨盆损伤病例进行了分析。这些损伤是由钝器从前侧斜向造成的。其中25例(135处骨折)为专家病例,25例(120处骨折)为实验观察病例。根据创伤力作用方向与骨盆环平面之间的角度,实验和专家观察均分为3组:在骨盆环平面内,以及与之成45度和90度角的情况。在所有这三组中,从前侧斜向用钝器打击耻骨上支都会导致骨盆出现各种应变变形状态,每种状态都有其特定的机械成因、骨折定位和形态特征。

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