25例骨盆骨折合并大出血的急救与护理

25 cases of pelvic fracture bleeding first aid and care

目的:总结25例骨盆骨折合并大出血的急诊救治与护理。方法:对25例骨盆骨折合并大出血的患者积极进行抗休克、外固定、动脉造影等治疗方法,加强急救中各个环节中的病情观察及相关护理。结果:25例患者经过抗休克、外固定以及动脉造影栓塞等治疗措施,抢救成功23例。结论:骨盆骨折大出血是患者早期死亡的主要原因,通过积极的抢救与护理,可以有效挽救患者的生命,降低伤残率。

Objective：To investigate the emergency management and nursing for pelvic fractures associated with major hemorrhage in 25 cases. Methods：Patients associated with major hemorrhage were rescued with aggressive fluid resuscitation, external fixation, and arterial angiog- raphy. It was important to enhance the observation and nursing in the emergency time. Results ：23 of 25 patients were successfully managed after fluid resuscitation, external fixation, and arterial angiography and embolization. Conclusion：Major hemorrhage was the main cause of early death in pelvic fractured patients and it was possible to reduce the mortality and disability rates with aggressive emergency rescue and nursing.