儿科多重创伤患者骨折之间的关系:临床结果的评估
Davi Braga DE Carvalho1, Eiffel Tsuyoshi Dobashi1, Danilo José Leite Gomes1
1Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.
Acta ortopedica brasileira
|July 20, 2023
概括
这项研究分析了患有大腿骨和骨盆骨折的儿科多创伤患者,发现腹腔大腿骨骨折最常见. 大多数患者接受了外部固定治疗,并没有出现并发症.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤学 儿科创伤学
- 创伤护理 创伤护理
背景情况:
- 儿童和青少年的多创伤在骨折管理中提出了独特的挑战.
- 骨盆和大腿骨骨折需要特定的治疗方案以确保最佳结果.
- 了解这些伤害的影响对于改善儿科创伤护理至关重要.
研究的目的:
- 为了评估多创伤和相关的骨盆骨骨折的儿科患者.
- 为了将这些损伤的影响与年轻患者的临床结果相关联.
- 分析儿科多创伤队列中的治疗方式和患者倾向.
主要方法:
- 在2012年1月至2021年12月期间治疗的44名儿科多创伤患者 (12-17岁) 的回顾性研究.
- 伤害模式的分析,重点是骨盆和大腿骨骨折 (近端和腹腔骨).
- 审查治疗策略,包括外部固定和外科手术,以及患者的治疗结果.
主要成果:
- 腹腔大腿骨骨折是最常见的 (70.44%),通常是由跌倒造成的.
- 线性外部固定是主要治疗方法 (45.45%).
- 大多数患者 (88.63%) 住院3-11天,ICU入院率低 (90.91%) 和重新手术率低 (77.27%).
结论:
- 患有大腿骨和骨盆骨折的儿童多创伤患者可以在适当的管理下取得积极的结果.
- 外部固定是这些伤害的常见和有效的初始治疗方法.
- 没有记录死亡率,这表明在这个队列中成功管理协议.
相关概念视频
01:27Fractures: Bone Repair
3.4K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.4K
01:26Flail Chest-II
206
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
206