在重创伤患者的骨盆骨折:一项比较研究
Alexander A Fokin1,2, Joanna Wycech Knight1,3, Madison E Tharp1,4
1Trauma and Critical Care Services, Delray Medical Center, Delray Beach, FL 33484, United States.
World journal of orthopedics
|June 5, 2024
概括
骨盆骨折 (PF) 与并发伤害影响创伤患者,特别是老年人,他们面临更高的死亡率. 在PF患者的CT扫描上,对比红色 (CB) 往往需要栓塞,尽管死亡率仍然相似.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
背景情况:
- 高能量的创伤导致骨盆骨折 (PF) 增加,并导致相关伤害.
- 在老年人中管理PF因伴随疾病而复杂.
- 对比红斑 (CB) 在CT扫描中为PF是活跃出血的标志物,但其临床意义仍在争论中.
研究的目的:
- 分析患有PF的多创伤患者,重点关注老年患者,并发伤害以及对比红 (CB) 的临床价值.
主要方法:
- 在一级创伤中心对558名PF患者 (2017-2023) 的回顾性队列研究.
- 分析包括人口统计,伤害特征,并发伤害和治疗结果.
- 倾向性得分匹配用于比较老年患者与非老年患者以及具有/没有CB的患者.
主要成果:
- PF占创伤病例的4%,52%有并发伤害 (17%是腹部).
- 老年患者的死亡率较高 (13%对4%) 和骨科手术较少,尽管CB率相似.
- 患有CB的患者接受了更多的盆腔血管造影 (71% vs. 12%) 和栓塞 (64% vs. 22%),死亡率相似.
结论:
- 骨盆骨折经常伴有并发伤害,包括腹部创伤.
- 患有类似伤害的老年患者的死亡率更高.
- 大约一半的CT扫描对比红色的患者需要栓塞.
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