损伤控制理论在骨盆骨折患者中的应用进展

Application Progress of Damage Control Theory in Patients with Pelvic Fracture

骨盆骨折多因严重创伤导致,可导致个体生理功能严重障碍,如凝血功能异常、酸中毒、低体温等,目前治疗难度仍较大,其中开放性骨折多因高能量外部力量导致,被认为是致命性骨折,病死率居高不下。目前骨盆骨折的治疗以手术为主,而损伤控制理论注重严重创伤后患者的病理变化,强调保护个体的潜在生理功能以及适当改善已经发生的内环境紊乱,可减少骨盆骨折相关并发症的发生,提高骨盆骨折外科治疗的安全性,是目前骨盆骨折外科的关键干预手段。但骨盆骨折外科治疗中损伤控制理论的应用价值尚不明确。

Pelvic fracture is mostly caused by severe trauma,which can lead to severe physiological dysfunction,such as coagulation dysfunction,acidosis,hypothermia,etc.The treatment is still relatively difficult at present,and open fractures are mostly caused by high-energy external forces and are considered fatal fractures,featured with high mortality rate.Operation is the main treatment for pelvic fracture currently,and the damage control theory focuses on the pathological changes after severe trauma,emphasizes the protection of the potential physiological function of the patients and the appropriate improvement of the internal environment disorder,which can reduce the incidence of complications related to pelvic fractures and improve the safety of the surgical treatment,and now is the key intervention method for pelvic fracture surgery.However,the applicative value of damage control theory in the surgical treatment of pelvic fractures is still unclear.