| 摘要 |
To evaluate the factors affecting the outcome of pelvic injury in multiple trauma patients. A retrospective review of 229 patients with pelvic injury was performed. The overall mortality rate was 7.9%. Most of the deaths (89%) resulted from associated injury rather than from pelvic hemorrhage. The presence of both hypotension (BP 100 mmHg) resulted in a higher mortality rate than the presence of either hypotension or tachycardia alone. As regards mechanisms of injury, trauma to pedestrians by automobiles showed a higher mortality rate than others. Except for open fracture, there was no correlation between the mortality rate and fracture type or injury severity score (ISS). In survival patients, the average blood transfusions was 2.3 ±2.0U in type I, 2.6± 2.lU in type II, 6.2 ± 3.6U in type III and 3.4 ± 2. 7U in type IV. In conclusion, adequate and expeditious stabilization of hemodynamics and management of associated injury were most important in the management of pelvic injury. |
