摘要
目的:探讨汶川地震伤中开放性骨折原因分析及治疗策略。方法:回顾性分析280例汶川地震中开放性骨折患者病例,总结骨折原因及治疗方法。结果:患者压砸伤266例,占95%,其他受伤方式约占5%。治疗上急诊行内固定手术者88例,占31%,行外支架固定者69例,占24%,单纯石膏外固定者60例,占21%,截肢患者63例,占22%,63例截肢患者中40例为肢端缺血坏死引起,占14%,15例为肢体毁损引起,占5%,8例为气性坏疽引起,占2%。结论:汶川地震伤中开放性骨折原因多为压砸伤,治疗首先考虑全身治疗,抢救生命,骨折治疗根据Gustilo分度及肢体有无气性坏疽或坏死而进行相应的治疗。又因为地震伤有受伤人群多,受伤时间长,感染严重及救治困难等特点,故应根据病情采取相应的特殊救治方法。
Objective：To research the cause and therapy of open fracture on earthquake in Wenchuan.Methods：To anlalyze 280 open fracture patients on earthquake in Wenchuan.and to summarize the cause and therapy of open fracture.Results：The pression wounds number are 266,about 95% in all.About 5% wounds patients suffer in injuries in other way.88 patients（31%）have internal fixation of emergency treatment.69 patients（24%） have external fixation of emergency treatment.60 patients（21%） have simple plaster external fixation.63 patients（22%） have amputation.40（14%） of the 63 patients are suffered from limb ischemia.15（5%） patients suffered from limb mutilation.8（2%） patients suffered from gas gangrene.Conclusion：The cause of open fracture on earthquake in Wenchuan is pression woundes.The most important therapy is from head to foot,save the life.The therapy way of fracture is according to the Gustilo standard and the existion of the gas gangrene.Because thera are many characters of earthquake wound such as crowdy,long time,infection and difficult to cure,we should adopt homologous special way according to patient＇s condition.
出处
《华西医学》
CAS
2009年第10期2522-2525,共4页
West China Medical Journal
