血流动力学不稳定骨盆骨折治疗的临床经验总结

Summary clinical experience of hemodynamiclly unstable plevic fracture

目的：探讨血流动力学不稳定骨盆骨折的一体化救治的实效性。方法对2012年1月~2014年1月收治的20例实施一体化救治（治疗组）及同时段采用传统救治手段（对照组）的20例患者进行比较分析。结果治疗组成功抢救17例，28 d内死亡3例；对照组共死亡9例；两组患者血流动力学稳定时间、输血总量差异具有显著统计学意义。结论以早期识别骨盆骨折类型和动脉损伤、简单外固定、限制性液体复苏、DSA下栓塞止血为核心的一体化治疗具有较好的操作性，有助于改善患者血流动力学，降低死亡率。

Objective To discuss the effection of integrated treatment of hemodynamiclly unstable plevic fracture. Methods From Jan 2012 to Jan 2014 20 cases of the implementation with integrated treatment （treatment group） were compared with 20 patients with traditional treatment （control group）. Results 17 cases of treatment group successfully resuscitated,3 patients died within 28 days;there were 9 death cases in control group;The difference was statistically significant on stable hemodynamics time, blood transfusion amount in two groups of patients. Conclusion With good operability integration in the treatment of early recognition of pelvic fractures and arterial injury, simple external fixa-tion,limited fluid resuscitation,DSA embolization as the core,help to improve the hemodynamics,reduce mortality.