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Application of external fixation in the femoral shaft fractures patients with multiple trauma
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF EMERGENCY MEDICINE
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1671-0282.2005.02.005
- Key Word:
- 多发伤;外固定架;股骨骨折
Abstract： 目的探讨早期外固定架固定股骨干骨折对严重多发伤患者预后的影响. 方法采用回顾性对比分析,将85例严重多发伤(ISS>25)患者分为两组:A组床旁局麻下行外固定支架固定股骨干骨折;B组行下肢皮牵引或小夹板固定股骨干骨折.将两组患者4周内的急性呼吸窘迫综合征(ARDS)、脂肪栓塞综合征(FES)、多器官功能障碍综合征(MOSF)发生情况及病死率进行比较.结果经统计学处理,两组的并发症(ARDS、MOSF、FES)发生率及病死率差异有显著性,行外固定架治疗组低于行下肢牵引或小夹板固定治疗组(P＜0.05).结论并股骨干骨折严重多发伤患者早期行外固定架固定股骨,在降低病死率、减少并发症发生率方面具有良好效果.
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