CAJ | 학술논문

目的：探讨分析多发伤治疗过程采取骨折治疗的临床效果。方法根据我院2010年5月～2012年5月接收的180例多发伤患者来进行研究分析，将这些患者分组为急诊手术治疗组、择期手术治疗组和保守治疗三组，对这几种治疗方法的临床效果来进行对比分析。结果全部107例患者，共有30例创伤严重度评分超过30的患者，骨折急诊手术组患者的急性呼吸窘迫综合征、脂肪栓塞综合征发生几率以及平均重症加强护理病房时间均要由于择期手术和保守治疗两组患者（P＜0.05）；共对101例患者进行了随访，远期并发症情况为骨折急诊手术组患者较为优秀（P＜0.05）。结论临床中治疗骨折的方法非常多，我们需要积极的探讨研究，寻找最佳的治疗方式，降低多发伤患者的死亡率和并发症几率。
목적：탐토분석다발상치료과정채취골절치료적림상효과。방법근거아원2010년5월～2012년5월접수적180례다발상환자래진행연구분석，장저사환자분조위급진수술치료조、택기수술치료조화보수치료삼조，대저궤충치료방법적림상효과래진행대비분석。결과전부107례환자，공유30례창상엄중도평분초과30적환자，골절급진수술조환자적급성호흡군박종합정、지방전새종합정발생궤솔이급평균중증가강호리병방시간균요유우택기수술화보수치료량조환자（P＜0.05）；공대101례환자진행료수방，원기병발증정황위골절급진수술조환자교위우수（P＜0.05）。결론림상중치료골절적방법비상다，아문수요적겁적탐토연구，심조최가적치료방식，강저다발상환자적사망솔화병발증궤솔。
Objective To investigate the clinical effect of the treatment of fracture in the treatment of multiple injuries.Methods According to our hospital from May 2010 to May 2012, 180 patients with multiple injuries were analyzed, the patients were grouped into emergency operation treatment group, selective operation treatment group and conservative treatment group three, the clinical effect of these methods were compared and analyzed.Results 30 patients, there were two patients with trauma severity score of more than 30, the fracture emergency surgery group, patients with acute respiratory distress syndrome, fat embolism syndrome, and the average critical care unit to strengthen the care of patients (P<0.05). 101 patients were followed up, the long-term complications of emergency surgery group were better (P<0.05).Conclusion The clinical treatment of fracture is very much, we need to actively explore the research, looking for the best treatment, reduce the mortality and complications of patients with multiple injuries.