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儿童开放性骨盆骨折的救治
Hits: 1839   Download times: 1266   Received:March 12, 1998    
作者Author单位UnitE-Mail
黄耀添 HUANG Yao tian 第四军医大学西京医院全军骨科研究所,陕西西安710032 Institute of Orthopaedics of PLA,Xijing Hospital,Fourth Military Medical University Shanxi Xi’an,710032  
李华林 LI Hua lin 第四军医大学西京医院全军骨科研究所,陕西西安710032 Institute of Orthopaedics of PLA,Xijing Hospital,Fourth Military Medical University Shanxi Xi’an,710032  
雷伟 LEI Wei 第四军医大学西京医院全军骨科研究所,陕西西安710032 Institute of Orthopaedics of PLA,Xijing Hospital,Fourth Military Medical University Shanxi Xi’an,710032  
冯志军 第四军医大学西京医院全军骨科研究所,陕西西安710032 Institute of Orthopaedics of PLA,Xijing Hospital,Fourth Military Medical University Shanxi Xi’an,710032  
朱立军 第四军医大学西京医院全军骨科研究所,陕西西安710032 Institute of Orthopaedics of PLA,Xijing Hospital,Fourth Military Medical University Shanxi Xi’an,710032  
期刊信息:《中国骨伤》2000年13卷,第4期,第198-200页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨降低儿童开放性骨盆骨折死亡率的有效方法。

方法:本组23例,其中22例发生休克,采用止血、输血及手术治疗。

结果:经救治,21例存活,2例死亡,死亡率为87%.

结论:有效急救止血、早期快速定量补充血容量、及时彻底清创、预防感染和认真处理好合并伤及重要脏器伤是挽救开放性骨盆骨折患儿生命的根本措施。
[关键词]:骨折  骨盆  急救  清创术
 
Emergency Treatment of Open Pelvic Fracture in Children
Abstract:

Objective:To explore the effective methods for lowering down the mortality of open pelvic fracture in children

Methods:Of the 23 cases,22 patients with shock were treated with hemostasis,blood transfusion and operation

Results:After treatment,21 survived and 2 died,giving a mortality of 8 7%.

Conclusion s:To control hemorrhage successfully,replace adequate circulation volume early and timely debridement,prevent infection and manage associated injuries of vital organs are the basic treatments for saving life of children with open pelvic fracture
KEYWORDS:Fractures  Pelvis  First aid  Debridement
 
引用本文,请按以下格式著录参考文献:
中文格式:黄耀添,李华林,雷伟,冯志军,朱立军.儿童开放性骨盆骨折的救治[J].中国骨伤,2000,13(4):198~200
英文格式:HUANG Yao tian,LI Hua lin,LEI Wei.Emergency Treatment of Open Pelvic Fracture in Children[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(4):198~200
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