血流动力学不稳定骨盆骨折的一体化急诊救治疗效分析

Clinical Analysis of Integrated Emergency Management on Patients with Hemodynamics Unstable Pelvic Fractures

目的:评估一体化急诊救治血流动力学不稳定骨盆骨折的价值。方法:回顾性分析佛山市中医院2013年1月-2016年1月一体化急诊救治的血流动力学不稳定骨盆骨折患者40例的临床资料。结果:40例患者均早期行骨盆带固定、止血复苏治疗,有17例及时行髂内动脉栓塞,5例行剖腹探查并骨盆填塞止血,有24例行骨盆外固定;治愈33例,死亡7例。结论:在血流动力学不稳定骨盆骨折患者救治中实行以急诊科救治为主的一体化治疗是当前急诊救治较好的模式。

Objective:To evaluated the application of integrated emergency management in patients with hemodynamics unstable pelvic fractures. Methods:The clinical data of 40 patients with hemodynamics unstable pelvic fractures were analyzed retrospectively from Jan 2013 to Jan 2016. Results:All the 40 cases were treated by pelvic fixation and hemostatic resuscitation early,17 cases internal iliac artery embolization,5 cases underwent laparotomy and retroperitoneal bleeding,24 cases of pelvic external fixation forceps. 33 cases were cured,7 cases died. Conclusion:Integrated emergency treatment which would be a quite well treatment model for hemodynamically unstable patients with pelvic fractures.