摘要
目的探讨多发性骨折的流行病学特点,为其防治提供依据。方法调查2006年1月~2009年1月多发性骨折患者的性别、年龄、骨折部位、致伤原因、合并伤及治疗情况。结果在155例多发骨折患者中,男性80例、女性75例,平均年龄45.96岁。致伤原因:道路交通伤54例,坠落伤48例,跌倒伤38例,压砸伤14例,其它1例。脊柱骨折59例,骨盆53例,髋部47侧,股骨干38侧,膝关节15侧,胫腓骨38侧,踝部9侧,足部30侧,肩关节4侧,肱骨干5侧,肘部14侧,尺桡骨21侧,腕部23侧,手部7侧,平均2.5处骨折。合并其它脏器损伤者61例,占39.4%。开放性骨折28例,占18.1%。124例需手术治疗,其中11例行急诊复位固定骨折,入院距手术的平均时间为9.54天,平均住院时间34.12天。结论多发性骨折常发生在青壮年,道路交通伤、坠落伤是其主要致伤原因;跌倒则是老年患者的主要致伤原因,脊柱、骨盆为好发部位,下肢骨折明显多于上肢。应根据不同年龄阶段的致伤原因不同,采取相应的预防措施。
Objective To investigate the epidemiological characteristics of multifractare patients, so as to provide basis for protective measures. Methods A retrospective study was performed in 155 patients with multifracture who were admitted in our department from Jan. 2006 to Jan. 2009. The following data were statistically analyzed： gender,age,cause of injury,fracture sites,number of fractures,associated injuries and the treatments. Results Of the 155 patients,there were 80 males and 75 females,with an average age of 45.96. The causes of fractures were traffic injury in 54 cases,fall injury in 48 ,tumbling injury in 38 ,crushing injury in 14. There were 59 cases with spinal fractures and 53 cases with pelvic fractures. We found that there were 47 fractures of hips,38 fractures of femoral shafts, 15 fractures of knees,38 fractures of shafts of tibia and fibula,9 fractures of ankles,30 fractures of feet,4 fractures of shoulders ,5 fractures of humeral shafts, 14 fractures of elbows,21 fractures of shafts of ulna and radius^23 fractures of wrists and 7 fractures of hands. The average number of fractures-parts was 2.5. There were 61 cases combined with other organs injuries such as abdomen, chest, urine system, which accounted for 39.4%. There were 28 cases with open fractures ,accounting for 18.1%. Totally 124 eases were operated to reduce and fix the fractures, including 11 cases who needed emergency operations. The average time from hospitalization to operation for fractures was 9.54 days, and the average hospital stay was 34. 12 days. Conclusion The young tend to be the majority of victims with muhifracture mostly owing to traffic accidents and falling, while the multifractnre mainly occurs in the old as a result of tumbling. Spine and pelvis are mostly involved in muhifraeture, and the lower limb is prone to be broken compared with the upper limb. So the different protective measures should be taken to decrease the incidence of muhifracture according to different causes of injury in different ages.
出处
《创伤外科杂志》
2009年第6期494-496,共3页
Journal of Traumatic Surgery
关键词
多发骨折
流行病学
multifracture
epidemiologics
