骨盆骨折Tile分类与患者早期输血量之间的关系

Analysis of the Relationship between the Tile Classification of Pelvic Fracture and the Blood Transfusion Requirement in the Patients with Pelvic Fractures

目的 :研究骨盆骨折Tile分类与患者输血量之间的关系 ,便于对骨折患者的输血量进行预测 ,指导临床早期对血流动力学不稳患者的救治 ,减少死亡率。方法 :回顾性研究 5年间我院收治的 97例骨盆骨折患者 (平均年龄 40 .7岁 )输血量、ISS评分、伴发损伤、住院时间、死亡率等与骨折不同分类之间的关系。结果 :3型骨折患者骨折的严重程度与输血量、ISS、死亡率等 ,各组之间具统计学显著性差异。患者平均输血量为 912ml ,其中C组平均输血 2 2 0 0ml。ISS评分平均为 18.4,其中C组为 2 8.7。死亡率平均为 5 .2 % ,C组平均为 19.0 %。并且骨折的 3组分类的伴发损伤之间也有统计学上差别。结论 :Tile骨折分类方法能对骨盆骨折患者输血量有一定的预测价值。骨折类型越严重 ,患者早期复苏时的输血量就越多 。

Objective: To identify relationship between patients at greatest risk for massive hemorrhage and blood transfusion and the Tile classification of pelvic fractures so as to predict the requirement of blood transfusion of the patients,to rescue those with hemodynamic instability and to reduce mortality in the patients.Method:From June 1995 to October 2000,97 cases with pelvic fracture were admitted to our hospital.The relationship between the Tile classification and the amount of blood transfusion,the Injury Severity Score,the associated injuries,the mortality were retrospectively studied.Results:There were significant differences in the respect of requirement of blood transfusion,ISS,and mortality among each group graded according to the Tile classification.The mean blood transfusion in this series of patients was 912 ml and those of C type needed more than 2200 ml.Conclusions:The Tile classification of pelvic fractures can positively predict the amount of blood transfusion.The severer the fractures are ,the more chances the associated injuries will stand and the higher the ISS will be,the more volum of blood transfusion will be needed.