Emergency treatment of pelvic fracture complicated with traumatic rupture of urethra and bladder
10.3760/cma.j.issn.1008-6315.2012.09.021
- VernacularTitle:骨盆骨折合并尿道断裂及膀胱破裂的急诊处理
- Author:
Jinyu LI
;
Guixi CHEN
;
Yansheng WU
;
Zhipeng ZHENG
;
Conghui SHI
;
Gonglei CHEN
;
Qingquan ZENG
;
Zhiwei ZENG
;
Chang LI
- Publication Type:Journal Article
- Keywords:
Pelvic fracture;
Trauma treatment;
Urethral rupture;
Bladder rupture
- From:
Clinical Medicine of China
2012;28(9):960-962
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate emergency diagnosis and treatment of pelvic fracture complicated with traumatic rupture of urethra and bladder,and to improve the success rate of treatment on pelvic fracture.MethodsClinical data of 52 cases of pelvic fracture complicated with traumatic rupture of urethra and bladder in department of emergency and urology from 2000 to 2010 was retrospectively analyzed.Results Among the 52 patients,there was 41 cases of pelvic fracture complicated with posterior urethral disruption,15 cases complicated with rupture of bladder and 4 cases complicated withtraumatic rupture of urethra and bladder at the same time.In 41 cases with posterior urethral rupture,6 individual's condition were relatively so severe that they onlyunderwent bladder puncture nephrostomy,and 29 cases underwent traction urethral realignment,the other 6 cases didn't undergo surgery; In 15 cases of patients with bladder rupture,2 patients were performed urethral realignment and bladder repair,11 patients underwent the bladder repair only and the other 2 patients were not performed surgery.There were 8 patients died and the mortality rate was 15.4％.Six died cases failed to conduct emergency surgery because of uncontrollable bleeding and another 2 cases died due to multiple organ failure.ConclusionPelvic fractures is a disease with more complications,it should be diagnosed as early as possible.Patients invalid for conventional anti-shock should be performed pelvic external fixation and emergency embolization to stop bleeding in the emergency department,and undergo associated processing after they are in stable condition.
