Wubben R C
Orthopaedic Specialists, SC, Neenah, WI, USA.
Wis Med J. 1996 Oct;95(10):702-4.
The records of 77 consecutive patients admitted to Theda Clark Regional Medical Center in Neenah, Wisconsin with a diagnosis of pelvis fracture over a three year period were reviewed. Data was gathered to determine factors associated with survival to hospital discharge. The series included 41 patients injured in a motor vehicle accident and 34 patients injured in falls. The mortality rate was 9.1% (7/77). Factors found significantly associated with increased mortality included coagulopathy and head injury. The diagnosis of pelvic fracture has a relatively high associated mortality rate (6.4%-30%). The deaths among these patients are not usually a direct result of the fractures themselves but are a result of concomitant injures and complications. The prompt diagnosis of pelvis trauma, associated injuries, and other conditions linked to a high mortality rate can help identify those patients most at risk early in their care. This article attempts to identify specific factors linked to increased mortality. Such clinical information is helpful prognostically as well as in prioritizing patient care.
回顾了威斯康星州尼纳市西达·克拉克地区医疗中心在三年时间里收治的77例骨盆骨折患者的记录。收集数据以确定与存活至出院相关的因素。该系列包括41例在机动车事故中受伤的患者和34例因跌倒受伤的患者。死亡率为9.1%（7/77）。发现与死亡率增加显著相关的因素包括凝血病和头部损伤。骨盆骨折的诊断有相对较高的相关死亡率（6.4%-30%）。这些患者的死亡通常不是骨折本身的直接结果，而是伴随损伤和并发症的结果。骨盆创伤、相关损伤以及与高死亡率相关的其他情况的及时诊断有助于在护理早期识别那些风险最高的患者。本文试图确定与死亡率增加相关的具体因素。此类临床信息在预后以及确定患者护理优先级方面都很有帮助。
