开放性股骨干骨折急诊扩髓治疗疗效观察.docVIP

开放性股骨干骨折急诊扩髓治疗疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.20.59 　　摘 要 目的：对开放性股骨干骨折急诊扩髓治疗的疗效进行观察研究。方法：2008年5月-2013年3月收治开放性股骨干骨折患者38例，行急诊扩髓髓内钉固定治疗，患者手术时间≤24小时，抽取同期40例手术时间24小时的开放性股骨干骨折扩髓髓内钉固定患者作对照，对两组临床资料进行回顾性分析，观察两组开放损伤程度、合并伤情况、住院时间等各项指标。结果：观察组合并休克20例（52.6%），对照组12例（30.0%），两者差异有统计学意义（P0.05），两组Ⅲ型开放伤程度及住院时间差异有统计学意义（P0.05）。结论：控制休克，维持患者生命体征平稳在开放性股骨干骨折急诊扩髓及髓内钉固定治疗中尤为重要，此疗法未增加患者并发症的发生率及死亡率，对促进患者康复具有重要意义。 　　关键词 扩髓 股骨骨折 髓内固定 　　Curative effect observation of open fracture of femoral shaft treated with emergency treatment of reamed intramedullary 　　Zhao Ming 　　Emergency Department，the First Peoples Hospital of Qujing City，Yunnan 655000 　　Abstract Objective：To explore the curative effect of open fracture of femoral shaft treated with emergency treatment of reamed intramedullary.Methods：38 cases with open fracture of femoral shaft were selected from May 2008 to March 2013.They were treated with emergency reamed intramedullary intramedullary nail fixation，and operation time was less than 24 hours.40 cases with open fracture of femoral shaft were selected，who were treated with emergency reamed intramedullary intramedullary nail fixation，and the operation time was more than 24 hours.We retrospectively analyzed the clinical data of two groups，and observed the open injury degree，the combined injuries，hospitalization time and other indicators of the two groups.Results：In the observation group，20 cases（52.6%） had shock.In the control group，12 cases（30%） had shock.The difference was statistically significant（P0.05）.There were significant differences in type Ⅲ open injury degree and hospitalization time of the two groups（P0.05）.Conclusion：The control of shock and maintaining stable vital signs are very important in open fracture of femoral shaft treated with emergency treatment of reamed intramedullary.It will not increase the incidence rate and mortality of patients，and it has great significance to promote the rehabilitation of the patients. 　　Key words Reamed intramedullary；Frac