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題名 | The Management of Pelvic Ring Injury in Emergency Room=骨盆損傷在急診的處理 |
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作者 | 陳維恭; 施信嶔; 王校; 林國瑞; 劉銘; 李建賢; Chen, Wei-kung; Shih, Hsin-chin; Wang, Shiaw; Lin, Kuo-ray; Liu, Ming; Lee, Chen-hsen; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19960300、19960400 |
卷期 | 29:2 民85.03-04 |
頁次 | 頁120-125 |
分類號 | 419.53 |
語文 | eng |
關鍵詞 | 骨盆損傷; 急診; Pelvic injury; |
中文摘要 | 為分析影響骨盆損傷預後的一些因素,有22?位骨盆損傷病人進入本研 究。全部的死亡率是7.9,而其中大部份(89)是死於併發症而非出血。血漲動力學 不穩定病人申以同時存在血壓小於I叨毫米水銀汞柱及心跳大於每分鐘100者比 單獨存在血壓小於100毫米水銀汞柱或心跳大於每分鐘100下者的死亡率來得 高。創傷機轉中以被撞路人有較高的死亡率。而除了開放性骨盆骨折外,死亡率 和骨折的型式或損傷嚴重程度指數(ISS)無關。在存活的病人中型一的輸血量是 2.3±2.0單位、型二是2.6±2.1單位、型三是6.2±3.6單位、型四是3.4±2.7單位。 結論是足夠及快速的穩定血被動力學及處理其合併症在骨盆損傷的治療上最重 要。 |
英文摘要 | To evaluate the factors affecting the outcome of pelvic injury in multipletrauma patients. A retrospective review of 229 patients with pelvic injurywas performed. The overall mortality rate was 7.9. Most of the deaths(89) resulted from associated injury rather than from pelvic hemorrhage.The presence of both hypotension (BP<100 mmHg) and tachycardia (HR>100 mmHg) resulted in a higher mortality rate than the presence of eitherhypotension or tachycardia alone. As regards mechanisms of injury, trauma to pedestrians by automobiles showed a higher mortality rate thanothers. Except for open fracture, there was no correlation between themortality rate and fracture type or injury severity score (ISS). In survivalpatients, the average blood transfusions was 2.3±2.0U in type I, 2.6±2.1U intype II, 6.2± 3.6U in type III and 3.4±2.7U in type IV. In conclusion, adequate and expeditious stabilization of hemodynamics and management ofassociated injury were most important in the management of pelvic injury. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。