Ward L D, Morandi M M, Pearse M, Randelli P, Landi S
Department of Orthopedic Surgery, University of Texas, Houston 77030, USA.
Bull Hosp Jt Dis. 1997;56(2):104-6.
The management of the hemodynamically unstable patient with a severe pelvic ring disruption remains one of the most serious trauma emergencies. Standard resuscitation protocols may include attempted closure of the pelvic ring by the use of pneumatic anti-shock trousers, external fixation applied in the operating room, or a sheet wrapped around the patient in the emergency room. We report a case of pelvic ring disruption in which a successful clinical outcome was achieved with the emergent use of the Pelvic Stabilizer in the emergency room. The Pelvic Stabilizer is a device that can be effectively applied in the emergency room for the acute reduction and early stabilization of the displaced pelvis in a hemodynamically unstable patient. The use of a pelvic clamp can also be effective in the acute setting for a stable trauma patient with pelvic ring disruption. It rapidly reduces and stabilizes a potential cause for patient decompensation without obstructing access to further concomitant diagnostic or therapeutic interventions in the abdomen and perineum.
对血流动力学不稳定且伴有严重骨盆环断裂的患者进行管理,仍然是最严重的创伤急症之一。标准的复苏方案可能包括尝试使用气动抗休克裤闭合骨盆环、在手术室进行外固定,或在急诊室用床单包裹患者。我们报告一例骨盆环断裂病例,在急诊室紧急使用骨盆稳定器取得了成功的临床结果。骨盆稳定器是一种可在急诊室有效应用的装置,用于对血流动力学不稳定患者移位的骨盆进行紧急复位和早期稳定。对于骨盆环断裂的稳定创伤患者,在急性情况下使用骨盆夹也可能有效。它能迅速复位并稳定可能导致患者失代偿的因素,同时不妨碍对腹部和会阴进行进一步的相关诊断或治疗干预。