多发骨折脱位伴休克的救治

Emergency Treatment of Multiple Fracture and Dislocation with Shock

目的 :探讨多发性骨折脱位伴休克的救治措施及效果。方法 :回顾性分析了 1992年 4月～ 1998年 12月共12 2例多发骨折脱位伴休克的临床资料。结果 :本组患者均伴有不同程度的休克。平均ISS为 30 .7;死亡 15人 ,其中死于失血性休克 6例 ,死于血气胸及肾衰各 1例 ,死于严重颅脑损伤 3例 ,死于ARDS 3例及多器官功能衰竭 1例 ;伤后早期抗休克治疗及手术内固定有利患者康复及减少并发症发生。结论 :强调院前急救及早期手术内固定治疗的重要性 ,讨论了有关严重合并伤的处理原则。

Objective: To study the treatment and outcome of patients who suffer from multiple fracture-dislocation with shock.Methods:The clinical data of 122 cases of multiple fracrure-dislocation of bone with shock from April 1992 to Dec 1998 were analysed retrospectively.Results:There are different extent of shock in all cases of the group.The average ISS was 30.7 for each case.15 patients died.6 of 15 case died from hemorrhagic shock,one died from hemopneumothorax,one died from renal failure,3 cases of patients died from severe cerebral injuries,3 cases of patients died from ARDS,one died from MOF.Conclusion:The importance of pre-hospital emergency treatment and early internal fixation were emphasized.It was also discussed about the treatment of complicated severe injuries.