Abstract:
Objective To explore the establishment and clinical effect of a new model for treating hemodynamic unstable pelvic fractures in county and district hospitals.
Methods Thirty-one cases of pelvic fracture with hemodynamic instability were treated with the new mode of centralized dominant force, multi-disciplinary cooperation, unified scheduling and standardized treatment as the new model group. In this group, there were 22 males and 9 females; The age ranged from 24 to 89 years, with an average of (54.84±16.22) years. 30 cases of pelvic fracture with hemodynamic instability were treated with routine treatment mode as the control group. In the control group, there were 19 males and 11 females; the age ranged from 17 to 79 years, with an average of (48.83±16.54) years. The length of stay, length of stay in intensive care unit, blood transfusion volume within 24 hours, lactic acid, prothrombin time, fibrinogen, platelet count, hematocrit and the incidence of multiple organ dysfunction syndrome, deep venous thrombosis, infection, abdominal space syndrome, traumatic coagulation disease and mortality were compared between the two groups.
Results The mortality and incidence of traumatic coagulopathy in the observation group were significantly lower than those in the control group, and fibrinogen in the observation group was significantly higher than that in the control group, with statistical significance (P<0.05), but there were no significant differences in other indicators. The survival patients were compared and analyzed. The hospitalization days and ICU days in the observation group were significantly lower than those in the control group, and the incidence of traumatic coagulopathy was significantly lower than that in the control group, with statistical significance (P<0.05), but there were no significant differences in other indicators.
Conclusion In county and district hospitals, the treatment mode of centralized superior force, multi-department cooperation, unified dispatching and standardized treatment can significantly reduce the occurrence of traumatic coagulopathy, and thus decrease the mortality rate and ICU stay and hospital stay of patients.
Key words:
Pelvic fracture,
hemodynamic instability,
trauma coagulopathy,
fibrinogen,
A new model
Chenran Zhang, Wenming Shen, Jinnan Yin, Xiaocheng Zhao, Yiyao Pan, ming Zhu. A new model for treating hemodynamic unstable pelvic fractures in county and district hospitals[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2022, 08(01): 22-26.