|
损伤控制骨科在合并骨折的多发伤中的应用 |
| |
【摘要】 目的 探讨应用损伤控制骨科治疗合并骨折的多发伤时的疗效。方法 对我院2003年1月至2007年8月收治的11 例合并骨折的多发伤患者，应用损伤控制原则分三阶段治疗，早期骨折给予临时固定、清创、止血治疗，术后进入ICU监护治疗，病情平稳后行确定性手术，并进行回顾性分析。结果 死亡2 例，死亡率18.2％。随访3～18个月，并发症包括伤口感染1 例，经引流、换药后好转。黏连性肠梗阻3 例，不需外科治疗。骨折顺利愈合，邻近关节功能恢复佳。结论 损伤控制原则更符合外伤后病人的病理生理特点，在严重创伤伤员的急救医疗中具有强大的生命力。
【关键词】 损伤；控制；多发伤
Application of Damage Control Orthopedics in Multiple Injury Concured with Fracture
JIN Hao
(Department of Orthopedics，the Mingguang Traditional Chinese Medical Hospital，Chuzhou 239400，China)
Abstract：Objectives To evaluate the efficacy and value of damage control orthopedics(DCO) applicated to multiple injury concured with fracture.Methods A total of 11 patients with multiple injury concured with fracture received DCO treatment in our hospital during January 2003 to August 2007.The therapy process include three procedures：Early，granted debridement、hemostasis、provisional fixing fracture；Next，cared in the intensive care unit；Finally，when pathogenetic condition was equable，the patients received operation.Then retrospective analysis was made.Results Death 2 cases，mortality 18.2％.Follow up 3～18 months there were some complications.Wound infection took place in 1 case，and healed after drainage、change dressings etc.Three adhesive i[1] [2] [3] [4] 下一页
上一个医学论文： LCP在闭合性长骨远近端骨折中的应用
下一个医学论文： 微创胸腰椎椎弓根钉内固定术解剖学进展
|
|
|
|
|
|
|
您现在的位置： 绿色健康网 >> 医学论文 >> 中医论文 >> 正文