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首页> 外文期刊>Injury >Management and outcome of open pelvic fractures: a retrospective study of 41 cases.
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Management and outcome of open pelvic fractures: a retrospective study of 41 cases.

机译：开放性骨盆骨折的处理和结果：回顾性研究41例。

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BACKGROUND: Open pelvic fractures occur uncommonly. Despite serious sequelae, they have been infrequently reviewed. METHODS: We conducted a retrospective review of all patients with open pelvic fractures in our department from January 2001 to April 2010. RESULTS: Forty-one patients (32 men, 9 women) with these injuries were identified. The average Injury Severity Score (ISS) was 31.4, with 80% of patients having a score >/=16. The average blood transfusion in the first 24h was 17.2 units, and the average hospital stay was 60 days. Overall mortality was 24% (n=10): 3 early deaths and 7 late deaths. Factors associated with overall mortality by univariate analysis were ISS, RTS, GCS, age, pelvic sepsis, Gustilo classification of soft-tissue injury, and Young classification of bony fracture. Factors associated with late mortality by univariate analysis were: ISS, RTS, pelvic sepsis, Gustilo classification of soft-tissue injury, and blood transfusion in the first 24 h. Moreover, multivariate analysis showed that only RTS was independently associated with both overall and late mortality. CONCLUSION: Despite treatment advances, mortality rates remain high in patients with open pelvic fractures. The urogenital and/or intra-abdominal injuries are not associated with mortality. RTS
机译：背景：开放性骨盆骨折不常见。尽管存在严重的后遗症，但很少进行审查。方法：我们对2001年1月至2010年4月在我科的所有开放性骨盆骨折患者进行了回顾性研究。结果：确定了这些受伤的患者41例（男32例，女9例）。平均损伤严重度评分（ISS）为31.4，其中80％的患者评分> / = 16。前24小时的平均输血量为17.2单位，平均住院时间为60天。总死亡率为24％（n = 10）：3例早期死亡和7例晚期死亡。单因素分析与总死亡率相关的因素有：ISS，RTS，GCS，年龄，骨盆败血症，软组织损伤的Gustilo分类和骨骨折的Young分类。通过单因素分析与晚期死亡率相关的因素有：ISS，RTS，骨盆败血症，软组织损伤的Gustilo分类以及前24小时的输血。此外，多变量分析显示只有RTS与总体和晚期死亡率独立相关。结论：尽管治疗有所进步，但开放性骨盆骨折患者的死亡率仍然很高。泌尿生殖器和/或腹内损伤与死亡率无关。 RTS

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