多发骨折120例临床急救治疗体会

Emergency treatment experience of 120 cases with frequent fracture

目的总结并探讨多发骨折急救处理及早期治疗措施。方法回顾性分析笔者所在医院2007年3月～2011年3月收治多发骨折急诊患者120例临床急救治疗资料,其中82例2处骨折,30例3处骨折,8例4处骨折。结果全部120例患者中116例经有效急救治疗,顺利出院;4例患者因并发严重颅脑损伤死亡;急救成功率为96.7%。出院患者术后随访6～12个月,其中94例术后骨折愈合良好,达到或接近解剖复位,恢复生活自理能力;16例术后活动障碍;6例出现骨折愈合延迟。结论诊断与抢救同步进行,手术与保守治疗结合,选择最佳急救方案对于提高多发骨折急救治疗成功率,减少并发症,降低致残率,改善患者预后具有重要意义。

Objective Concluding and discussing the emergency handling and early treatment of frequent fracture. Methods Analysing 120 frequent fracture patients＇ treatment materials from March 2007 to March 20! l, of which 82 patients have 2 fractures, 30 patients have 3 fractures and 8 patients have 4 fractures. Results 116 patients among all these 120 patients have left hospital through effective treatment, and the other 4 patients were dead because of brain damage, the rate of success is 96.7%.After visiting the patients who have lefl the hospital for 6 - 12 months, of which 94 patients are recovering well, and return to normal life, 16 patients have action handicap, and 6 patients＇ bone recover have postpones. Conclusion Diagnosing and rescuing are carried out at the same time, operation and treatment should be combined together.Besides, choosing the best emergency treatment programme has a great significance for improving rate of success, reducing syndrome and rate of cripple.