严重骨盆骨折的早期救治

Early treatment of severe pelvic fractures

严重骨盆骨折早期救治成功与否的因素众多,除对救治时间的要求外,整个救治链中相关救治人员的专业知识及其对伤情的认识和处理尤为重要。只有将其作为系统工程研究对待,把握好每一个救治环节,方能最大限度挽救生命、降低残障。严重骨盆骨折早期救治主要应在"伤情评估与急救处理、骨盆固定与止血、多科会诊与专科救治、损害控制与确定手术、合并伤与并发症处理"五个方面给予重点关注及辩证处理。

There are many affecting factors on whether the early treatment of serious pelvic fracture is successfully or not. It is particularly important that the person who takes part in the whole treatment should have a relevant professional knowledge and a good awareness on the extent of the injury. In order to save maximized lives and reduce disability,the treatment process should be treated as systems engineering research,and every treatment link should be grasped. The following five aspects should be paid strong attention to in the early treatment of serious pelvic fracture: the injury assessment and first aid treatment; the fixation and hemostasis; multi-disciplinary consultations and specialist treatment; the damage control and definite surgery; combined injury and complications.