脊柱与骨盆损伤诊疗要点分析.pdfVIP

第四单元脊柱和骨盆

一、A1

1、双侧耻骨上下支骨折,无明显移位，哪种治疗方法最理想

A.蚌式石膏固定

B.仅卧床休养即可

C.骨盆悬吊牵引

D.切开复位

E.手法复位夹板固定

2、骨盆骨折并腹膜后休克，经积极抢救，未见好转时，应立即

A.结扎髂外动脉

B.结扎髂内动脉

C.结扎髂总动脉

D.结扎髂内髂外动脉

E.结扎髂内髂外动脉脉

3、骨盆骨折合并完全断裂，处理是

A.采用橡皮导尿管导尿

B.采用金属导尿管导尿

C.穿刺

D.造瘘

E.吻合术

4、关于脊柱外伤与脊髓损伤的关系的叙述,下列哪项是错误的

A.脊髓损伤节段与椎骨受伤平面不一致

B.胸椎较固定，所以胸椎骨的脱位多无脊髓损伤

C.有的病例表现为明显脊髓损伤，但X线片却无骨折脱位

D.屈曲型骨折脱位造成骨髓损伤最多见

E.椎管狭窄患者，脊柱更易发生脊髓损伤

5、脊柱骨折造成脱位并脊髓半横切损伤，其损伤平面以下的改变,是

A.双侧肢体完全截瘫

B.同侧肢体，双侧肢体深浅感觉

C.同侧肢体和深感觉，对侧肢体痛温觉、

D.同侧肢体和痛温觉，对侧肢体深感觉

E.同侧肢体痛温觉，对侧肢体及深感觉

Unit4SpineandPelvis

一、A1

1.Bilateralsuperiorandinferiorpubicramusfractureswithoutobviousdiscement,whichtreatmentmethodismostideal?

A.Clamcast

immobilizationB.Bed

restisenoughC.Pelvic

suspensiontractionD.

OpenreductionE.

Manualreductionand

splintfixation

2.Pelvicfractureandretroperitonealhemorrhageshock.Ifnoimprovementisseenafteractiverescue,thepatientshould

betreatedimmediately.

A.Lietheexternaliliacartery

B.Lietheinternaliliacartery

C.Liethecommoniliacartery

D.Lietheinternalandexternal

iliacarteriesE.Lietheinternal

andexternaliliacarteriesand

veins

3.Pelvicfracturecombinedwithcompleteurethrarupture,thebesttreatmentis

A.Usingrubbercatheterfor

urinarycatheterizationB.

Usingmetalurinary

catheterforurinary

catheterizationC.

CystocentesisD.Cystosto

myE.Urethralanastomosis

4.Regardingthedescriptionoftherelationshipweenspinaltraumaandspinalcordinju