摘要
目的 探讨骨折治疗方法对多发伤治疗的影响。 方法 通过比较多发伤早期并发症 [急性呼吸窘迫综合征 (ARDS)、脂肪栓塞综合征 (FES) ]发生率、死亡率和平均ICU时间与患者远期并发症发生率 ,观察骨折急诊手术、择 (限 )期手术、保守治疗三种不同治疗方法对多发伤的疗效。 结果 91例ISS≥ 30中 ,急诊手术患者ARDS、FES发生率和ICU时间 [(9.3± 1.2 )d],优于其他两种治疗方法 (P <0 .0 5 )。 87例随访患者中 ,急诊手术远期并发症发生率为 7.8% (4 5 1) ,优于其他两种治疗方法 (P <0 .0 5 )。 结论 骨折急诊手术在降低多发伤的死亡率、减少并发症发生率方面均具有良好的效果。外固定器固定具有手术时间短、出血少、创伤小等优点 ,在多发伤的治疗中具有很好的优势。
Objective To discuss the therapeutic effect of fracture operation on multiple bone injuries. Methods The patients with fractures were treated with 3 different methods, ie, emergency, selective and conservative treatments. Early complications such as acute respiratory distress syndrome (ARDS),fat embolism syndrome (FES),duration in insive care unit and mortality rate were compared with the long-term complications of fractures so as to evaluate the curative effect of 3 different methods on multiple bone injuries. Results Among 91 cases (ISS≥30), one died and 2 resulted in FES. Mortality rate, short-term and long-term complications and mean ICU duration were reduced significantly in the emergency treatmentgroup compared with the other two groups ( P <0.05). Conclusions The mortality and disability rates of multiple bone injuries are markedly reduced by the emergency operations. External fixation device has advantages in short operation time, less bleeding and mild trauma in the treatment of multiple bone injuries.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2003年第7期389-391,共3页
Chinese Journal of Trauma
关键词
骨折
急诊手术
多发伤
治疗
Fractures
Emergency treatment
Multiple trauma
Surgical procedures, operative
