【摘要】 目的探讨汶川地震后送伤员四肢和脊柱骨折的病情特点及救治对策。方法回顾性研究我科2008年5月17日~2008年6月25日收治的汶川地震伤员69例,其中肋骨骨折9例,锁骨骨折5例,四肢骨折58例,骨盆骨折7例,颈椎骨折1例,胸椎骨折1例,腰椎骨折11例,截肢术后5例,采用分类检伤,损害控制,分次手术等方法积极救治。结果全部病例均得到及时准确的救治,无死亡、无院内感染、无内固定松动及断裂等并发症发生。结论地震后送伤员,病情复杂,伤口污染程度高,应分类检伤,采用损害控制,后期专科手术的救治。更多还原

【Abstract】 ObjectiveTo investigate the characteristics and clinical treatment for patients with extremity fractures or spinal fractures after Wenchuan earthquake.MethodsFrom May 17 2008 to June 25 2008,69 patients injured in Wenchuan earthquake were treated in our department,including 9 rib fractures,5 clavicle fractures,58 extremity fractures,7 pelvic fractures and 13 spinal fractures.ResultsAll of 30 patients were treated with accurate methods.No death,nosocomial infection,internal-fixation loosening or breakage was found.ConclusionThe characteristics of patients after Wenchuan earthquake are very complicated.We shoud classify the injury and use the damage control technology to treat the patients.When the condition of patient is good,we then select the special operative treatment.更多还原