骨盆骨折205例临床分析

CLINICAL ANALYSIS OF PELVIC FRACTURE IN 205 PATIENTS

目的 :探讨骨盆骨折及合并伤和并发症的诊断和治疗 ,以提高治疗效果 ,降低死亡率 ,减少后遗症。方法 :对该院 1981～ 2 0 0 0年 2 0 5例骨盆骨折的治疗及效果进行回顾性分析和总结。结果 :2 0 5例骨盆骨折中 ,早期因严重创伤性失血性休克死亡 19例 ,中晚期死亡 3例 ,死亡率 10 .7%。余病例随访 6～ 18个月 ,平均 10 .3个月 ,172例获满意疗效 ,无明显后遗症 ,优良率 83%。 13例均有疼痛和轻度短肢跛行。结论 :严重骨盆骨折合并创伤性失血性休克 ,关键在于早期及时进行抗休克治疗 ,必要时行髂内动脉结扎术止血 ;根据不同类型的骨盆骨折采有不同方法治疗。

Objective:In order to improve the efficacy of treatment, reduce the mortality rate and decrease the sequela, the diagnosis and treatment of pelvic fracture were studied.Method:205 cases of pelvic fracture admitted in our department from 1981～2000 were included in the study.Results:In the total of 205 cases, 19 cases dead of severe early hemorrhagic shock, 3 cases dead in the middle and late stage. The total death rate was 10. 7% The rest of the patients were followed up for 6 to 18 months ( mean 10.3months), 172 patients obtained good to excellent results without any sequela. Painor slight cripple were remaining in 13 cases. Conclusion:The key for management of severe pelvic fracture complicated with hemorrhagic shock is early starting of anti-shock treatment, the internal iliae arteries can be ligated to stop the bleeding when necessary. Pelvic fracture should be treated according to the classifications.