Effect of early injury control resuscitation combined with multidisciplinary collaborative emergency mode on the efficacy of patients with hemodynamically unstable pelvic fractures
Effect of early injury control resuscitation combined with multidisciplinary collaborative emergency mode on the efficacy of patients with hemodynamically unstable pelvic fractures
Objective:To explore the efficacy of multidisciplinary collaborative emergency mode combined with early injury control resuscitation in the treatment of hemodynamically unstable pelvic fractures. Methods:A total of 30 patients with hemodynamically unstable pelvic fractures who implemented multidisciplinary collaborative emergency mode combined with early injury control resuscitation were selected as the observation group,and 30 patients with hemodynamically unstable pelvic fractures who implemented traditional active fluid resuscitation before the observation group mode were selected as the control group. The infusion volume of colloidal solution,crystal solution,plasma,and concentrated red blood cells within 24 hours,recovery of body temperature,coagulation function,and lactate clearance time,as well as the incidence and mortality rate of disseminated intravascular coagulation ( DIC) of patients in the two groups were statistically analyzed. Results:There was no colloidal solution supplementation in the observation group. The infusion volume of crystal fluid and concentrated red blood cells in the observation group were lower than those in the control group,while the plasma infusion volume was higher than that in the control group,the recovery time of body temperature,coagulation function,and lactate clearance were shorter than those in the control group, and the differences were statistically significant ( P <0. 01). The incidence of DIC in the observation group was 3. 33％,and the mortality rate was 6. 67％,which was not statistically significant compared to 10. 00％ and 16. 67％ in the control group (P >0. 05). Conclusions:The multidisciplinary collaborative emergency mode combined with early injury control resuscitation applied to hemodynamically unstable pelvic fractures can quickly and effectively restore the patient's hemodynamically stable state.
关键词
骨盆骨折/血流动力学/多学科协作急救模式/早期损害控制复苏
Key words
pelvic fracture/hemodynamics/multidisciplinary collaborative emergency mode/early injury control resuscitation
维普
万方数据