以骨关节损伤为主的严重多发性损伤的救治

Treatment of severe multiple injuries complicated by bone and joint injury

以骨关节损伤为主的严重多发性损伤是指在ISS90>17分的严重多发性损伤中,骨与关节损伤的ISS90≥16分;应将多发性损伤当作全身性外科疾病来考虑;成功的处理需要充分了解病理生理、复苏方法、正确的伤员分类和时间选择,以及精心安排的治疗计划。提供安全、简单、迅速和可行的措施,首要目的是挽救病人的生命。先尽可能完善病人的生理状态,损害控制,再进行非挽救生命的手术。

The injury that ISS90 of bone and joint is 〉16 and ISS90 of severe multiple injuries is 〉17 can be called severe multiple injuries complicated by bone and joint injury. Multiple injuries should be considered as a systemic surgical disease. The cognition of pathology, physiology, anabiosis, accurate injury classification and elaborative therapeutic plan is the key of successful treatment. In order to save the lives of patients, the physiological state improvement and damage control should be considered first.