Pairs of multiple trauma in the emergency surgical treatment of fractures of Discussion.docVIP

 PAGE \* MERGEFORMAT 11 Pairs of multiple trauma in the emergency surgical treatment of fractures of Discussion 【Key Words】 Fracture In multiple trauma patients with fractures due to the merger accompanied by brain, chest and abdominal organ injuries and so on, the trauma of high mortality if emergency surgery there are different views. The traditional view is that first of all conservative treatment of fractures and other injuries to be a stable line of fracture after surgery. With the deepening of trauma theory, rescue techniques improve, the operation of the improvements, the recent emphasis on early surgical treatment, improve the therapeutic effect. A clinical data 1.1 General Information The group of 36 cases, 27 males and 9 females; aged 16 to 57 years, with an average 31.3 years of age. Injuries reasons: 28 cases of traffic injury, fall injury in 6 cases, smashing crushed in 2 cases. Fracture areas: the tibia and fibula fractures in 21 cases, 14 cases of femur fractures, humerus fractures in 9 cases, radius and ulna fractures in 13 cases, 8 cases of clavicle fractures. Craniocerebral injury in 14 cases, 7 cases of chest trauma, abdominal trauma, 12 cases of thoraco-abdominal injuries in 10 cases. 2 and 24 patients with two or more fractures, open wounds in 19 cases. 1.2 Treatment First, an active anti-shock therapy, to maintain airway patency, and at the same time pre-operative preparation. Blood pressure and smooth Across fracture surgery. Such as visceral injury required surgical treatment, then later or at the same time surgery. Visceral injury did not require surgery will, in closely monitored downstream fracture surgery. Debridement of open fractures of the complete line of fracture after treatment (four regular plaster external fixation), long bone fractures with intramedullary nail line as far as possible, at both ends of fractures of the anatomical plate or pulling nails fixed with reconstructi