高龄地震伤员多发性骨折伤情特点和治疗策略
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摘要
目的探讨大规模群体伤中高龄伤员多发性骨折的治疗策略。方法回顾性分析汶川大地震后广元市第二人民医院骨科收治63例高龄伤员多发性骨折(≥70岁)伤情特点及早期处理方法。结果 63例伤员无1例死亡,其中54例手术治疗(截肢手术2例,外支架固定12例,内固定治疗40例),其余9例采用保守治疗,所有伤员均痊愈出院,未发生急性呼吸窘迫综合征和脂肪栓塞综合征。结论正确、全面评估老年伤员基础状况和伤情特点,实施及时、有效的早期治疗,多科室协作积极控制合并症,防治骨折并发症,为后续治疗及伤员的康复创造了条件。
Objective To investigate the treatment strategies of multiple fractures in earthquake injured elderly.Methods Traumatic condition and early treatment strategies of 63 elderly patients(≥70 years' old) with multiple fractures in Wenchuan earthquake were analyzed retrospectively.Results All the 63 cases were recovered from hospital without one died,in which 54 cases were treated by surgery including 2 cases with amputation,12 cases with external fixation and 40 cases with internal fixation.In addition,9 cases accepted conservative treatment.Acute respiratory distress syndrome and fat embolism syndrome did not occur.Conclusion It is suggested to evaluate the foundation status and traumatic condition correctly and comprehensively,carry out timely and effective early treatment,cooperate well with each other to prevent and control complications as well as create conditions for follow-up treatment and rehabilitation.
Objective To investigate the treatment strategies of multiple fractures in earthquake injured elderly.Methods Traumatic condition and early treatment strategies of 63 elderly patients(≥70 years' old) with multiple fractures in Wenchuan earthquake were analyzed retrospectively.Results All the 63 cases were recovered from hospital without one died,in which 54 cases were treated by surgery including 2 cases with amputation,12 cases with external fixation and 40 cases with internal fixation.In addition,9 cases accepted conservative treatment.Acute respiratory distress syndrome and fat embolism syndrome did not occur.Conclusion It is suggested to evaluate the foundation status and traumatic condition correctly and comprehensively,carry out timely and effective early treatment,cooperate well with each other to prevent and control complications as well as create conditions for follow-up treatment and rehabilitation.
引文
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[4]宋跃明,龚全,刘立岷,等.5.12汶川大地震老年人脊柱骨折临床特点分析[J].实用医院临床杂志,2009,6(1):5-7.
[2]Signorini DF,Andrewa PJD,Jones PA,et al.Predicting survival usingsimple clinical variables:a case study in traumatic brain injury[J].JNeurol Neurosurg Psychiatry,1999,66(1):20-25
[3]王一镗.严重创伤救治的策略———损伤控制性手术[J].中华创伤杂志,2005,21(1):32-35.
[4]宋跃明,龚全,刘立岷,等.5.12汶川大地震老年人脊柱骨折临床特点分析[J].实用医院临床杂志,2009,6(1):5-7.
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