| 垂直不稳定骨盆骨折延迟诊断原因分析 |
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投稿时间：2010-06-24
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| 作者 | Author | 单位 | Address | E-Mail |
| 洪华兴 |
HONG Hua-xing |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospial of Zhejiang Province,Linhai 317000,Zhejiang,China |
13957670398@139.com |
| 洪正华 |
HONG Zheng-hua |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospial of Zhejiang Province,Linhai 317000,Zhejiang,China |
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| 陈海啸 |
CHEN Hai-xiao |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospial of Zhejiang Province,Linhai 317000,Zhejiang,China |
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| 朱忠 |
ZHU Zhong |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospial of Zhejiang Province,Linhai 317000,Zhejiang,China |
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| 陈忠义 |
CHEN Zhong-yi |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospial of Zhejiang Province,Linhai 317000,Zhejiang,China |
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| 林列 |
LIN Lie |
台州医院骨科，浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospial of Zhejiang Province,Linhai 317000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2011年，第24卷，第2期，第109-111页 |
| DOI：10.3969/j.issn.1003-0034.2011.02.004 |
| 基金项目:浙江省卫生厅资助(编号：2007A193) |
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中文摘要:
目的：探讨垂直不稳定骨盆骨折延迟诊断的原因并作初步分析，以期降低垂直不稳定骨盆骨折延迟诊断的发生率。
方法：对2003年1月至2008年12月收治176例垂直不稳定骨盆骨折患者进行回顾性分析，记录延迟诊断患者骨盆骨折的类型，患者的确诊方法和时间；患者的伤情因素和医师主观因素与延迟诊断的关系，分析造成垂直不稳定骨盆骨折延迟诊断的原因。所有患者的诊断经2名副主任及以上职称医师确诊，最终46例患者符合延迟诊断标准，男29例，女17例，平均年龄34岁。
结果：27例延迟诊断的因素主要与患者伤情有关，即客观因素，最常见客观因素是呼吸循环不稳定，占17例(17/46) .19例延迟诊断的因素主要与临床医师评估有关，即主观因素，其中 11例为专业骨科医生判断错误。
结论：垂直不稳定骨盆骨折延迟诊断发生率在严重多发伤中较高，骨科、ICU和急诊科医生提高对该类损伤的认识水平和保持高度警惕性，可望极大程度地减少垂直不稳定骨盆骨折延迟诊断的发生率。 |
| 【关键词】骨盆 骨折 误诊 创伤和损伤 |
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| Analysis of delayed diagnosis of the vertical unstable pelvic fractures |
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ABSTRACT
Objective: To explore the causes of delayed diagnosis of the vertical unstable pelvic fractures in patients with multiple trauma so in order to minimize these incidence.
Methods: A retrospective study was conducted in 176 patients with the vertical unstable pelvic fractures from January 2003 to December 2008. The classification of vertical unstable pelvic fractures was recorded. Medical data were compared and statistically analyzed to identify the incidence,and the contributing factors of the delayed diagnosis of the vertical unstable pelvic fractures. Of the 176 patients,46(26.1%) had delayed diagnosis of the vertical unstable pelvic fractures. There were 29 males and 17 females with an average age of 34 years old.
Results: Of the factors contributing to 46 cases of delayed diagnosis,41.3%(19/46) closely related to the evaluation by the doctors and were potentially avoidable,and 58.7% (27/46) were associated with the severity of the injuries.
Conclusion: The patients with multiple trauma had high incidence of delayed diagnosis of the vertical unstable pelvic fractures. The recognition of pelvic fractures,careful clinical assessments,and the awareness of the orthopedic doctors,emergency doctors and ICU doctors. Most of the delayed diagnosis of the vertical unstable pelvic fractures in patients with multiple trauma are potentially avoidable. |
| KEY WORDS Pelvis Fractures Diagnostic errors Wounds and injuries |
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| 中文格式: | 洪华兴,洪正华,陈海啸,朱忠,陈忠义,林列.垂直不稳定骨盆骨折延迟诊断原因分析[J].中国骨伤,2011,24(2):109~111 |
| 英文格式: | HONG Hua-xing,HONG Zheng-hua,CHEN Hai-xiao,ZHU Zhong,CHEN Zhong-yi,LIN Lie.Analysis of delayed diagnosis of the vertical unstable pelvic fractures[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(2):109~111 |
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