| 多发伤中长骨干骨折的早期髓内固定 |
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Received:April 23, 1999 Revised:December 07, 1999
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| 期刊信息：《中国骨伤》2000年13卷，第12期，第709-710页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨多发伤中长骨干骨折的处理时机和方法。
方法:共166例多发伤中长骨干骨折,伤员损伤严重度评分(ISS)平均为21.6分,伴休克者39例(23.5%),83%的伤员在到院后24小时内(95%在48小时内)施行手术治疗,204处长骨干骨折(包括66处开放骨折)均采用髓内固定。
结果:伤口一期愈合率为95%,骨折愈合率为93%,未发生脂肪栓塞、急性呼吸窘迫综合征(ARDS)、深静脉炎和多器官功能衰竭(MOF)等并发症。
结论:对多发伤中长骨干骨折早期复位和髓内固定有利于稳定伤员病情、减少并发症、提高治愈率和降低死亡率。 |
| [关键词]:骨折,闭合性 骨折,开放性 骨折固定术,髓内 |
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| Early Intramedullary Fixation for Diaphyseal Fractures of the Long Bone in Polytrauma |
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Abstract:
objective: To explore the optim time and methods of treatment of diaphyseal fractures in polytrauma.
Methods:A restrospective study of 166 cases was conducted of which 204 had diaphyseal fractures.The average ISS was 21.6 for each case.39 cases were associated with shock.The early operation was done for 83% of the cases in 24 hours(95% of the cases in 48 hours) after admittion.204 long bone diaphysis fractures were fixed with intramedullary fixation.
Results: The rate of primary healing was 95% and the healing rate of fractures was 93%.No systemic complications including Fat Embolism,ARDS,Phlebitis and MOF occurred.
Conclusion: The long bone diaphysis fractures in polytrauma should be treated with early reduction and intramedullary fixation and it was proved to be beneficial in preventing systemic complications,reducing the mortality,increasing the rate of the healing and providing a better rehabilitation and functional result. |
| KEYWORDS:Fractures closed Fractures open Fracture fixation intramedullary |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 邓磊,李力群.多发伤中长骨干骨折的早期髓内固定[J].中国骨伤,2000,13(12):709~710 |
| 英文格式: | DENG Lei,LI Liun.Early Intramedullary Fixation for Diaphyseal Fractures of the Long Bone in Polytrauma[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(12):709~710 |
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