Pelvic fracture urethral injury diagnosis and treatment of 78 cases.doc

 PAGE \* MERGEFORMAT 7 Pelvic fracture urethral injury diagnosis and treatment of 78 cases Author: Wei Chang-fu YUAN Li-Rong Xu Xin-Hua Qian-Ming Ruan Lei [Abstract] urethral injury in multiple injuries combined with timely and correct when applied urethral realignment increases traction, after extubation and timely expansion of urine is the preferred method of treatment of urethral injury. [Keywords:] treatment of urethral injury Posterior urethral injuries are mostly caused by a pelvic fracture, is often associated with multiple organ damage, and some patients in a state of shock, the patient under severe acute severe illness, so treatment of emergency cases, the choice is important, in our hospital from April 1988 -2008 years Total income in December to live pelvic fracture, multiple trauma with urethral injury in 78 cases, using urethral realignment plus traction 78 cases to obtain satisfactory results, reported as follows: A clinical data 1.1 The group of 78 cases, both male, aged 12-65 years, mean 51.5 years of age. Injuries reasons: 35 cases of traffic accidents, mine accidents in 28 cases, five cases of crush injuries, fall injuries in 10 cases. All groups are accompanied by pelvic fracture, including a state of shock in 29 cases (43.28%). Combined injury was as follows: 5 cases of bladder rupture, rupture of spleen in 5 cases, intestinal perforation in 5 cases, colon perforation in 2 cases, 2 cases of rupture of the small bowel mesentery, liver rupture in 3 cases, thoracic-abdominal injury, diaphragm injury in 1 case, the merger traumatic brain injury , cerebral contusion, intracranial hematoma in 4 cases, blood pneumothorax in 2 cases, open fracture of the femur in 3 cases, renal injury in 3 cases, the rest of pelvic fracture urethral injury. 78 cases in this group have a clear history of trauma. The hospital critically ill patients, all kinds of traumatic brain injury, all kinds of trauma patients should be the first to rescue all catheterizat