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目的探讨儿童骨盆骨折及其合并伤的诊治效果。方法选择2000年7月至2010年3月治疗的35例骨盆骨折儿童,男19例,女16例,年龄4.0～14.5岁,平均10.6岁。骨盆骨折分型按Tile分类法A型10例,B型12例,C型13例。患儿入院后早期明确诊断,及时抗休克,积极处理合并伤,对骨盆骨折予早期复位固定等处理。疗效评价分优、良、差三级。结果 35例患儿中死亡2例,33例经7～45个月,平均20.4个月的随访。疗效评价,优12例,良18例,差3例,优良率为90.91%。结论儿童骨盆骨折应早期明确诊断,骨折早期复位固定,及时治疗合并伤,治疗效果满意。
Objective To investigate the diagnosis and treatment of pelvic fractures in children and their combined injuries. Methods Thirty-five children with pelvic fracture treated from July 2000 to March 2010 were selected, 19 males and 16 females, aged from 4.0 to 14.5 years (average 10.6 years). Pelvic fracture classification according to Tile classification A type 10 cases, B type 12 cases, C type 13 cases. Children diagnosed early after admission, timely anti-shock, and actively deal with injuries, pelvic fractures early reset and fixation treatment. Efficacy evaluation excellent, good, poor three. Results 35 cases of children died in 2 cases, 33 cases after 7 to 45 months, an average of 20.4 months follow-up. Efficacy evaluation, excellent in 12 cases, good in 18 cases, poor in 3 cases, excellent and good rate was 90.91%. Conclusion Pelvic fracture in children should be diagnosed early, reset early fracture fixation, timely treatment of combined injury, the treatment effect is satisfactory.