Analysis of patients of pelvic fracture associated with abdominal injury

YANG Fan; SONG Xian-zhou; HU Duan; YI Cheng-la; BAI Xiang-jun

Abstract：Objective To explore the clinical features of multiple traumatic patients of pelvic fracture asso-ciated with abdominal injury .Methods A total of 640 patients enrolled from Aug .2011 to Feb.2013 were divided into 3 groups (AI group,PF group and I group).Differences among those groups were retrospectively studied to ex-plore rules of diagnosis and treatment from such aspects as injury causes ,injury sites,injury severity, fracture classi-fications,abdominal injury classifications,complications,missed diagnosis and treatment effects.Results Road traffic injuries and high fall injury were the major cause of patients and the incidence rate of high fall injury of I group was significantly higher than the other two groups (P<0.01).The most likely injured sites included body surface,extremity and pelvis,abdominal and pelvic organs ,chest,head and neck,face.The severe rate of I group was significantly higher than the other two groups (P<0.01).The incidence of C type,APC type,VS type pelvic fracture of I group was significantly higher than PF group (P<0.01).Injuries of hollow organs and both hollow and solid organs,extraperitoneal and both ( extraperitoneal and intraperitoneal ) of I group were significant higher than AIG group( P<0.01).Acidosis hypothermia and blood coagulation disorder of I group were significantly higher than that of the other two groups(P<0.01).Retroperitoneal hematoma,solid organ injury, hollow organ injury and spinal fracture were most likely to be missed .Mortality of I group was significantly higher than the other two groups (P<0.01).Conclusion Patients with severe abdominal and pelvic injury are likely to be associated with severe unstable pelvic fractures and are at high risk of missed diagnosis and mortality .Anti-shock, external fixation and damage control laparotomy may be helpful to raise the survival rate .