fracture of pelvis
Conditions
Interventions
Traditional Sequential Group:Anterior external fixator and pre-peritoneal tamponade
Early intervention process group:Early simultaneous arteriovenous angiography
Sponsors
Zhengzhou Central Hospital Affiliated to Zhengzhou University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1)Hemodynamically unstable pelvic fracture patients treated in Zhengzhou Central Hospital from January 1, 2023 to December 30, 2023. 2)Hemodynamically unstable pelvic fractures: patients with pelvic fractures have systolic blood pressure of less than 90mmHg and have any of the following indicators: Hemodynamic instability can be identified as skin vasoconstriction (pallor, coldness, bluish or decreased capillary filling), altered consciousness (coldness, vagueness, irritability or coma), dyspnea, and heart rate greater than 120 beats /min. Hemodynamic instability may also BE considered if the systolic blood pressure is greater than 90mmHg, but transfusion is required, vasoconstrictor drugs are used, alkali residue (BE) is less than -5mmol/L, shock index (heart rate/systolic blood pressure) is greater than 1, and blood transfusion exceeds 4-6 units of RBC in 24 hours.
Exclusion criteria
Exclusion criteria: 1)Patients complicated with severe craniocerebral, thoracic and abdominal injuries requiring immediate surgical emergency treatment. 2)The patient's family members do not receive treatment 3)For brain-dead patients, if two independent attending physicians agree that the patient has no effect on the patient's outcome regardless of treatment or no treatment, they will no longer receive active treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mortality of patients during hospitalization;The timing and severity of complications during the patient's hospitalization;Complications within 6 months of patient discharge;length of hospital stay;ultrasound;CT;Angiography in the diagnosis of the location and extent of bleeding in pelvic fractures; | — |
Secondary
| Measure | Time frame |
|---|---|
| Vital signs (blood pressure, heart rate, respiration, temperature);Causes of pelvic fracture injury;Abbreviated Injury Scale;Glasgow Coma Scale;Injury Severity Score;Gender;Age;Admission diagnosis;American Society of Anesthesiologists classification;Neurological condition on admission;blood biochemical tests;Arterial blood gas analysis;coagulation function test; | — |
Countries
CHINA
Contacts
Public ContactLian Hongkai
Zhengzhou Central Hospital Affiliated to Zhengzhou University
Outcome results
None listed