四川大学华西医院骨科刘雷.PDFVIP

骨盆骨折 Fractures of pelvis 四川大学华西医院骨科 刘 雷 概 述 Summary 地震、泥石流、交通事故、恐怖袭击、人口老龄化、意外摔倒或高处坠落、压砸、扎 碾、撞挤所致等导致骨折发病逐年升高。The incidence of fractures caused by earthquakes, mudslides, traffic accidents, terrorist attacks, aging populations, accidental falls or falls, crushing and squeezing is increasing year by year. 年轻人交通事故、高处坠落Young people-traffic accidents, falling injuries from high places 老年人摔倒。Old people-fall 骨盆损伤发生率 Incidence of pelvic injury 全身骨折的3% 3% of total body fractures  多发性创伤中占25% 25% of multiple traumas  交通事故致死率中42% 42% of fatalities caused by traffic accidents 骨盆骨折－严重创伤的标志 Fractures of pelvis- A sign of severe trauma. 骨盆骨折特点 Characteristics of fractures of pelvic  高能量损伤引起；Caused by high energy damage  结构复杂；Complex structure  多伴有严重的脏器损伤；Most of them are accompanied by severe organ injury.  手术治疗难度大，落后于其他关节骨折的治疗； Surgical treatment is difficult and the effects of treatment is worse than that of other joint fractures.  骨盆骨折预后差、伤残、致畸率高； Poor prognosis, high disability and teratogenicity in pelvic fractures  尽早治疗利于减少疼痛、不愈合、畸型、愈合等并发症； Treatment as early as possible helps reduce complications such as pain, non-union, and malformations 伤情判断及处理 Judgment and treatment of injury  有无骨折？Fracture or not?  不能排除骨折，现场如何急救？If the fractures can not be ruled out, how to rescue the scene?  如何将伤员安全、有效送到医院？How to get patients safely and effectively to hospital?  医院内专科处理Specialist treatment in hospital 问题：Questions? 1. 骨折急救原则? Principle of first aid for fractures 2. 骨折治疗原则? The principle of treatment of fractures 请记住！！！please remember  骨折急救原则Principle of first aid for fractures 1. 抢救生命Save lives 2. 创口包扎Wound dressings 3. 妥善固定Proper fixation 4. 迅速转运Rapid t