Summary clinical experience of hemodynamiclly unstable plevic fracture
- VernacularTitle:血流动力学不稳定骨盆骨折治疗的临床经验总结
- Author:
Yannan YANG
1
;
Jianhua YI
;
Lei XU
;
Guoping JIANG
;
Xiaoying YAO
Author Information
1. 武警浙江总队嘉兴医院重症监护室
- Keywords:
Pelvic fracture;
External fixation;
Fluid restriction resuscitation;
DSA;
Embolization
- From:
China Modern Doctor
2015;(11):72-74,78
- CountryChina
- Language:Chinese
-
Abstract:
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.