骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用效果观察(1)
摘要：目的 研究骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用效果。方法 将我院2015年1月～6月不稳定骨盆骨折合并四肢多发骨折患者56例分两组，常规组行常规处理；损伤控制组应用骨科损伤控制。就两组患者手术过程出血情况、手术后住院平均时间、术后骨折愈合时间和不稳定骨盆骨折合并四肢多发骨折X线片结果优良率、尿道损伤、感染、静脉血栓等并发症发生率进行比较。结果 损伤控制组不稳定骨盆骨折合并四肢多发骨折X线片结果优良率明显高于常规组，尿道损伤、感染、静脉血栓等并发症发生率明显低于常规组，P<0.05。损伤控制组患者手术过程出血情况、手术后住院平均时间、术后骨折愈合时间均明显优于常规组，P<0.05。结论 骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用效果确切，可有效控制创伤，减少出血，减少术后并发症的出现，有助于加速手术后骨折愈合，缩短术后住院时间，是一种有效的处理方法，值得推广。
关键词：骨科损伤控制；不稳定骨盆骨折；四肢多发骨折
中图分类号：R687.3 文献标识码：A 文章编号：1006-1959(2017)26-0068-02
, http://www.100md.com
Abstract：Objective To study the effect of orthopedic injury control in the treatment of unstable pelvic fractures combined with multiple fractures of the extremities.Methods 56 patients with unstable pelvic fractures and multiple extremities fractures in our hospital from January to June 2015 were divided into two groups.The conventional group received routine treatment.Damage control group application of department of orthopedics injury.Two groups patients of bleeding，the average time of hospitalization after operation，fracture healing time and unstable pelvic fracture combined with multiple fractures of limbs radiography showed excellent rate of postoperative urethral injury，infection，venous thrombosis and other complications were compared.Results The injury control group unstable pelvic fracture combined with multiple fractures of limbs radiography showed excellent rate was significantly higher than that of conventional group，urethral injury，infection，venous thrombosis and other complications were significantly lower than the conventional group，P<0.05.Damage control group of patients with bleeding，the average time of hospitalization after operation，fracture healing time were significantly better than the conventional group，P<0.05.Conclusion The application of orthopedic injury control in treatment of unstable pelvic fractures combined with multiple fractures of extremities is effective，which can effectively control the trauma，reduce the bleeding，reduce the occurrence of postoperative complications，accelerate the healing of fractures after surgery，and shorten the postoperative hospital stay，is an effective approach that is worth promoting.
Key words：Orthopedic injury control；Unstable pelvic fracture；Multiple fractures of limbs
不穩定骨盆骨折在临床上发生率高，属于高发骨折类型，患者常可合并四肢多发骨折、脏器损伤等，症状严重，病情复杂，具有较高的致残率和死亡率，若处理不及时可导致患者死亡。骨科损伤控制理论在骨科损伤中应用广泛，其是根据患者耐受情况和创伤情况，采取分期治疗的手段实现对患者的有效治疗，可有效控制损伤，预防大出血等不良事件的发生，维持患者生命体征稳定，并在良好的生命体征状态下进行手术治疗[1]。本研究探讨了骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用效果，报道如下。, 百拇医药(吉璐宏 方丁)
关键词：骨科损伤控制；不稳定骨盆骨折；四肢多发骨折
中图分类号：R687.3 文献标识码：A 文章编号：1006-1959(2017)26-0068-02
, http://www.100md.com
Abstract：Objective To study the effect of orthopedic injury control in the treatment of unstable pelvic fractures combined with multiple fractures of the extremities.Methods 56 patients with unstable pelvic fractures and multiple extremities fractures in our hospital from January to June 2015 were divided into two groups.The conventional group received routine treatment.Damage control group application of department of orthopedics injury.Two groups patients of bleeding，the average time of hospitalization after operation，fracture healing time and unstable pelvic fracture combined with multiple fractures of limbs radiography showed excellent rate of postoperative urethral injury，infection，venous thrombosis and other complications were compared.Results The injury control group unstable pelvic fracture combined with multiple fractures of limbs radiography showed excellent rate was significantly higher than that of conventional group，urethral injury，infection，venous thrombosis and other complications were significantly lower than the conventional group，P<0.05.Damage control group of patients with bleeding，the average time of hospitalization after operation，fracture healing time were significantly better than the conventional group，P<0.05.Conclusion The application of orthopedic injury control in treatment of unstable pelvic fractures combined with multiple fractures of extremities is effective，which can effectively control the trauma，reduce the bleeding，reduce the occurrence of postoperative complications，accelerate the healing of fractures after surgery，and shorten the postoperative hospital stay，is an effective approach that is worth promoting.
Key words：Orthopedic injury control；Unstable pelvic fracture；Multiple fractures of limbs
不穩定骨盆骨折在临床上发生率高，属于高发骨折类型，患者常可合并四肢多发骨折、脏器损伤等，症状严重，病情复杂，具有较高的致残率和死亡率，若处理不及时可导致患者死亡。骨科损伤控制理论在骨科损伤中应用广泛，其是根据患者耐受情况和创伤情况，采取分期治疗的手段实现对患者的有效治疗，可有效控制损伤，预防大出血等不良事件的发生，维持患者生命体征稳定，并在良好的生命体征状态下进行手术治疗[1]。本研究探讨了骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用效果，报道如下。, 百拇医药(吉璐宏 方丁)
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