摘要
最近8个月，本院急诊科，共收治多发伤76例，损伤部位221处，平均每例损伤2．91±0．87处，均在急诊ICU行一期手术处理。术前平均住院1．9±1．5天，手术方法为骨折内固定术与清创术、剖腹探查术同时进行。平均住EICU时间为4．6±2．5天，平均住院时间为19．2±8．7天，存活率为94．8％。作者认为，对于多发伤病人在EICU中作早期骨折内固定，可减少并发症，缩短住院时间，节约费用，并提高存活率。急诊行骨折早期内固定术需具有三个条件：1．必须有一支相应的麻醉复苏队伍；2．必须有熟练掌握内固定的骨科医师；3．必须有相适应的装备和设施。
It was reported that 76 multiple trauma cases had been treated for eight months. 221 regions were injured and the average injured regions were 2. 91± 0. 87 in a case.They were treated with primary operation in emergency intensive care unit (EICU). The average hospitalization time before operation was 1. 9±1. 5 days. Internal stabilizations of fracture,debridements and exploratory laparotomies were applied at same time. The average time in EICU was 4. 6±2. 5 days and the average hospitalization tirne was 19. 2±8. 7 days. The authors considered that early internal stabilization to the multiple trauma cases should help reduce complication,shorten hospitalization time,decrease cost and increase survival rate. At EICU,early internal stabilization of fracture must have conditions: the team of suitable anesthesia and resuscitation,the orthopedist who can skillfully master the technology of internal stabilization,the suitable equipment and facilities.
出处
《急诊医学》
CSCD
1995年第4期222-225,共4页
关键词
多发伤
骨折
早期内固定
内固定
急诊处理
multiple trauma early internal stabilization fracture debridement exploratory laparotomy
