Rescue of severe pelvic fracture and hemorrhagic shock experience.doc

 PAGE \* MERGEFORMAT 7 Rescue of severe pelvic fracture and hemorrhagic shock experience [Keywords:] pelvic fracture Pelvic fracture is a serious injury, multiple pelvic compression caused by direct violence, common in traffic accidents and landslides. More than half of pelvic fractures associated with complications of trauma or multiple injuries. The most serious of traumatic hemorrhagic shock and pelvic dirty device associated injuries, improper treatment of a high mortality rate. hospital emergency department in 2008 of 5 patients with pelvic fractures and hemorrhagic shock patients, are as follows. 1 Clinical data 1.1 General Information 5 patients, 4 males and 1 female, aged 39 to 58 years, an average of 46 years. The clinical diagnosis of pelvic fractures. 1.2 The cause of injury road accident in 4 cases, 1 case of mechanical injury. 1.3 Classification of injury (1 in 4 cases due to a car accident, of which 1 with fractures, 2 cases with bladder tear, and 1 with blood pneumothorax, (2 mechanical injury in 1 case, the workers were women, after rolling through the belt break, combined fractures. 2 treatment process 2.1 Vital signs monitoring respiration, blood pressure, pulse and oxygen saturation monitoring, and blood to do blood, blood, blood biochemistry and coagulation function test. 2.2 for anti-shock therapy in patients with pelvic fracture, retroperitoneal massive bleeding, often associated with shock. Should be the rapid establishment of venous access: catheter open to 2 or 3 intravenous access, 2 for the rapid infusion, the other one for the application of specific drugs: boost drug, such as pelvic fractures can be up to several thousand milliliters of blood to blood transfusion as soon as possible. 2.3 symptomatic treatment (1 outside the immediate bleeding or bleeding at the fracture pressure bandage, stop bleeding, fixed. (2 suspected bleeding chest cavity, abdominal cavity puncture immediately the line, emergency l