کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9351457 | 1265259 | 2005 | 11 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
(ii) Acute management of pelvic ring fractures
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
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چکیده انگلیسی
During the primary survey, patients with pelvic ring fractures undergo decision making for day 1 surgery including life-saving surgery, damage control surgery and early total care or delayed definitive surgery dependent on haemodynamic status, physiologic criteria (hypothermia, coagulopathy, acidosis), scoring of injury severity and personal or operative resources. The staged sequential procedures of 'pelvic damage control' include damage control surgery with control of haemorrhage and contamination, decompression of abdominal and pelvic compartment syndromes, débridement of soft tissue injuries as well as temporary or definitive osteosynthesis, followed by resuscitation in the intensive care unit, 'second-look' operations, scheduled definitive surgery and secondary reconstructive surgery. External fixation of the posterior pelvic ring by pelvic C-clamp and pelvic packing represent the work horses for haemorrhage control of severe pelvic ring injuries in haemodynamically unstable patients, whereas angiographic embolisation is an option for haemodynamically stable patients or persistent bleeding after or during damage control surgery.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Current Orthopaedics - Volume 19, Issue 5, October 2005, Pages 334-344
Journal: Current Orthopaedics - Volume 19, Issue 5, October 2005, Pages 334-344
نویسندگان
Marius Keel, Otmar Trentz,