未成熟的部和骨盆的创伤性损伤
David Moore1, Rose Gnap2, Fergal Monsell3
1National Orthopaedic Hospital, Dublin, Ireland.
Current opinion in pediatrics
|October 18, 2023
概括
儿科骨盆和部骨折,通常是由于高能量创伤,需要先进的成像像,如CT/MRI诊断. 及时识别和手术稳定对于这些罕见伤害的最佳结果至关重要.
科学领域:
- 儿科整形外科 儿科整形外科
- 创伤外科 手术 创伤外科
- 放射学 放射学是一门学科.
背景情况:
- 骨盆和部骨折构成了不成熟的骨损伤的一小部分,通常是由于严重的创伤造成的.
- 这些骨折具有广泛的严重程度,从突发骨折到完全的骨盆环断裂.
研究的目的:
- 审查小儿骨盆骨折和骨折的表现,诊断,治疗和并发症.
- 为管理这些伤害的临床医生提供信息,解决由于罕见性而缺乏基于证据的协议.
主要方法:
- 审查当前文献和临床管理策略的儿科骨盆骨折和部骨折.
- 强调先进成像 (CT/MRI) 对于准确诊断的作用.
主要成果:
- 最初的X光照往往错过了骨盆骨折 (高达30%) 和骨骨折 (高达70%) 的很大一部分.
- 不稳定的骨折的保守治疗经常导致不理想的结果,需要手术稳定.
结论:
- 建议采用协调方法,包括复苏,暂时稳定和永久固定.
- 经验丰富的外科医生在专门的儿科创伤中心进行的管理对于最佳的患者结果至关重要.
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