骨关节型严重多发伤的损害控制治疗

Damage control orthopaedics in 26 cases with severe polytrauma

目的探讨损害控制在骨关节型严重多发伤救治中的作用。方法回顾性分析损害控制在26例骨关节型严重多发伤救治中的经验，研究骨科损害控制的方法、时机。结果本组26例全部生存，19例返回原工作岗位，7例生活自理，其中3例尚需继续治疗。结论（1）严重多发伤的ISS90≥17分，骨关节型严重多发性损伤中，则以骨与关节损伤为主的IS90≥16分。（2）骨科损害控制有利于提高骨关节型严重多发伤的救治。特别是对四肢和骨盆骨折，外固定器临时固定能有效地控制损害。

Objective To discuss damage control orthopaedics in 26 cases of severe polytrauma with orthopaedic trauma. Methods Twenty-six cases of severe polytrauma with orthopaedic trauma were retrospectively analyzed. The methods and time of damage control orthopaedics were discussed. Results The 26 cases all survived. Nineteen patients went back to their former work. Seven patients could live independently, among them three needed further treatment. Conclusion （ 1 ） The score of ISS90 in severe polytrauma is ≥ 17, and the score of ISS90 in severe polytrauma with orthopaedic trauma is ≥ 16. （2） Damage control orthopaedics helps to raise the level of treating severe polytrauma and effec- tively control the damage caused by external fixator stabilization for extremities and pelvic fractures.