...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Orthopaedics, Trauma and Rehabilitation >Outcome of Haemodynamically Unstable Open Pelvic Fracture Patients Managed With “3-in-1” Pelvic Damage Control Protocol in a Major Trauma Centre
【24h】

Outcome of Haemodynamically Unstable Open Pelvic Fracture Patients Managed With “3-in-1” Pelvic Damage Control Protocol in a Major Trauma Centre

机译：在主要创伤中心采用“三合一”骨盆损伤控制方案处理的血流动力学不稳定的开放性骨盆骨折患者的结果

获取原文
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

IntroductionOpen pelvic fractures are one of the most challenging and severe injuries of orthopaedics. These patients usually are associated with high mortality and morbidity. Therefore, multiple studies have suggested different methods to deal with this challenging problem. Our hospital is one of the few trauma centers in Hong Kong that deals with these patients. We have developed a “3-in-1” pelvic damage control protocol that strategically treats patients with pelvic injuries with open fractures. This article aims to review the outcomes of patients suffering from open pelvic fractures, admitted from January 2011 to 2016.Patients & MethodsAll patients diagnosed with hemodynamically unstable open fracture admitted from January 2011 to 2016 were retrospectively reviewed. All these patients were treated with our hospital’s “3-in-1” pelvic damage control protocol. We analyzed their demographics, associated injuries, Injury Severity and final outcomes.ResultsTwelve consecutive patients were included in this study. Seventy-five percent (n?=?9) of them were successfully resuscitated and discharged from hospital as their final outcome.ConclusionOur hospital’s “3-in-1” pelvic damage control protocol improves the survival rate of patients suffering from haemodynamically unstable open fracture, including open fracture. External fixation of pelvis, retroperitoneal packing and emergency angiography with embolization play important and inseparable roles in management of these critical patients. Adequate wound lavage, timely urinary and faecal diversion will improve the overall morbidity and survival further.
机译：简介骨盆开放性骨折是骨科最具挑战性和最严重的伤害之一。这些患者通常与高死亡率和发病率有关。因此，多项研究提出了不同的方法来解决这一具有挑战性的问题。我们的医院是香港为数不多的治疗这些患者的创伤中心之一。我们已经开发了一种“三合一”骨盆损伤控制方案，该方案可战略性地治疗开放性骨折的骨盆损伤患者。本文旨在回顾性分析2011年1月至2016年收治的开放性骨盆骨折患者的结局。患者与方法回顾性分析2011年1月至2016年收治的所有诊断为血流动力学不稳定开放性骨折的患者。所有这些患者均接受了我们医院“三合一”骨盆损伤控制方案的治疗。我们分析了他们的人口统计学，相关伤害，严重程度和最终结局。结果本研究纳入了12名连续患者。他们中有百分之七十五（n？=？9）成功地复苏并作为最终结果出院。结论我们医院的“三合一”骨盆损伤控制方案提高了血流动力学不稳定的开放性骨折患者的生存率包括开放性骨折。骨盆的外固定，腹膜后包装和栓塞的紧急血管造影在这些危重病人的治疗中起着重要而密不可分的作用。适当的伤口冲洗，及时的尿液和粪便转移将进一步改善总体发病率和生存率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号