地震伤Tile C型骨盆骨折15例救治分析

Analysis of 15 Tile C pelvic fracture following an earthquake

摘要: 目的:探讨阶段救治地震中严重不稳定型骨盆骨折伤员的经验。方法:回顾解放军第四五二医院救治的15例Tile C型骨盆骨折患者临床资料,第一阶段行抗休克治疗及骨折临时固定,第二阶段采用经皮骶髂关节拉力钉和外固定架技术稳定骨盆。结果:经过分阶段的治疗,伤员的生命体征得到稳定,骨折复位固定满意,无并发症发生。结论:不稳定骨盆骨折地震伤员分阶段救治提高了伤员救治水平,减少了并发症的发生。

Abstract: Objective: To discuss the experience and lesion about how to treat severe unstable pelvic fracture following an earthquake.Methods: To review clinical data of 15 TileC pelvic fracture treated in PLA No.452 hospital.The patients were managed with anti-shock measures and temporal fixation of fracture in the first stage and with percutaneous sarcral-lag screws and external fixation in the second stage.Results: After different-stage treatment,the patients were satisfactory reduction with no complications,obtained stable vital signs.Conclusion: Staged-treatment strategy for the earthquake pelvic fracture can improve the survival of patients and decrease their complications.