32例开放性骨盆骨折诊治分析
合并伤,,骨盆骨折；合并伤；并发症,1诊断标准,2一般资料,3治疗方法,参考文献：
摘要：目的 探讨开放性骨盆骨折的救治特点和治疗效果。方法 回顾性分析1988～2003年收治的32例开放性骨盆骨折病例资料，总结其伤情及诊治特点。结果 治愈20例，死亡12例。结论 开放性骨盆骨折为严重的多发性创伤，死亡率高达37.5%，死亡原因主要是严重的合并伤和并发症。合并伤发生率高，尤其应重视颅脑、胸腹脏器等损伤；主要并发症是大出血、感染和泌尿生殖系损伤，不稳定骨盆骨折早期紧急复位和固定可有效控制大出血，出血和感染所继发的病理改变，如MSOF、脓毒血症是造成患者死亡的直接原因。关键词：骨盆骨折；合并伤；并发症
Treatment of open pelvic fractures in 32 cases
ZHU Qinghe,WANG Ziming,LU Weizhong,et al.
(Department of Trauma Surgery,Fuling Central Hospital,Chongqing 408000，China)
Abstract: Objective To investigate the characteristics and effective therapy of open pelvic fractures.MethodsThirtytwo cases of open pelvic fractures treated in our hospital in 1988～2003 were analyzed retrospectively,and the injury and treatment feature of these patients were reviewed.Results Twenty cases were cured, 12 cases died. ConclusionThe patients with open pelvic fractures usually suffered from massive multiple injuries.The mortality rate was as high as 37.5%.The causes of death were serious associated injuries and complications.It is important to diagnose and treat the associated injuries,especially the brain injury and organ injury in chest and abdomen.The chief complications are hemorrhage and infection.Rapid examination of the injury,emergency reduction and external fixation for unstable pelvic fractures in the early stage are the key points to control an associated hemorrhage and raise the cure rate.The complications after hemorrhage and infection,such as sepsis and multiple systems organ failure are the direct cause of high mortality. ......
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