摘要
伴有多系统损伤的骨盆骨折,死亡率较高,达25%以上。本文报告308例骨盆骨折,分为四类进行分折。结果:伴有循环、呼吸和中枢神经等系统的严重损伤是早期死亡的原因,两周后的死亡主要为感染中毒性休克和年老的全身衰竭。降低死亡率的关键为早期迅速有效地复苏,及时妥善处理其他系统的损伤与并发症。
Pelvic fracture is one of common injuries, often complicating life-threatening multiple system injuries. A total of 308 patients admitted from 1972 to 1983 were reviewed. Over all mortality was 12.7%. Four groups of pelvic fractures in question were classified according to clinical findings. Group Ⅰ: 25 patients all died in 24 hours after emergency treatment. Group Ⅱ: 50 patients with multiple system injures. Group Ⅲ:151 patients with. severe injury. Group Ⅳ: 82 patients were simple light cases and did not require hospitalization. Results proved that mainly causes of death in carly stage were circulatory, respiratory and nervous system critical injuries secondary to pelvic fracture and in late stage were due to septic shock and aged factor. Early resuscitating effectively, dealing with associated injuries and complications promptly and properly are of importance for decrease of mortality rate.
出处
《创伤杂志》
CSCD
北大核心
1990年第1期26-29,共4页
