골반골절을 동반한 복부손상 환자에 대한 외과적 고찰 = Abdomiinal Injuries Associated with Pelvic Fracture

다국어 초록 (Multilingual Abstract)

Pelvic fracture due to high energy forces such as motor vehicle accidents, fall from height, and industrial crush injuries-has become one of the most serious injuries. In addition to life threatening hemorrhage itself and post-hemorrhagic complications (post-traumatic respiratory distress syndrome, sepsis, multiple organ failures), local and distant associated injuries, deformities and disabilities are all potential problems for a patient with pelvic fracture. So it is not enough to emphasize the need for an accurate and a rapid diagnosis of associated injuries of hemodynamically stable or unstable patient with pelvic fracture. We retrospectively reviewed medical records of 100 cases of abdominal or perineal injuries associated with pelvic fracture, which had been admitted to departement of General surgery, Yonsei University College of Medicine. During recent 5 years from Jan. 1984 to Dec. 1988. Laparatomy was performed in half of 100 cases. The most common type associated with abdominal injury was retroperitoneal hematoma in 33%. Twenty one patients received transfusion more than 10 units. The overall mortality rate was 6%. The causes of death were sepsis with multiple organ falilures in 3 patients and irreversible hypovolemic shock in 3 patients. In order to manage appropriately hemodynamically stable or unstable patients of pelvic fracture associated with surgical problems we present a management protocol.