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Journal of the Korean Society of Traumatology 2010;23(2):57-62.
Characteristics of Stable Pelvic Bone Fractures with Intra-abdominal Solid Organ Injury
Sang June Park, Sun Hyu Kim, Jong Hwa Lee, Ryeok Ahn, Eun Seog Hong
1Department of Emergency Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea. stachy1@paran.com
2Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
3Department of Radiology, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea.
복부 고형장기 손상을 동반한 안정 골반골 골절의 특성
서울아산병원 응급의학과1,
울산대학교병원 응급의학과, 영상의학과2
This study analyzed the characteristics of stable pelvic bone fractures with intra-abdominal solid organ injury.
Medical records were retrospectively reviewed from January 2000 to December 2009 of patients with stable pelvic bone fractures. A stable pelvic bone fracture according to Young's classification is defined as a lateral compression type I and antero-posterior compression type I. Subjects were divided into two groups, one with (injured group) and one without (non-injured group) intra-abdominal solid organ injury, to evaluate the dependences of the characteristics on the presence of an intra-abdominal solid organ injury. Data including demographics, mechanism of injury, initial hemodynamic status, laboratory results, Revised Trauma Score (RTS), Abbreviated Injury Scale (AIS), Injury Severity Score (ISS), amount of transfusion, admission to intensive care unit (ICU), and mortality were analyzed.
The subjects were 128 patients with a mean age of 42 years old, of whom were 67 male patients (52.3%). The injured group had 21 patients(16.4%), and the most frequent injured solid organ was the liver. Traffic accident was the most common mechanism of injury and lateral compression was the most common type of fracture in all groups. Initial systolic blood pressure was lower in the injured group, and the ISS was greater in the injured group. Arterial pH was lower in the injured group, and shock within 24 hours after arrival at the emergency department was more frequent in the injured group. Transfused packed red blood cells within 24 hours were 8 patients(38.1%) in the injured group and 11 patients(10.3%) in the non-injured group. Conservative treatment was the most common therapeutic modality in all groups. Stay in the ICU was longer in the injured group, and three mortalities occurred.
There is a need to decide on a diagnostic and therapeutic plan regarding the possibility of intra-abdominal solid organ injury for hemodynamically unstable patients with stable pelvic bone fractures and for patients with stable pelvic bone fractures along with multiple associated injuries.
Key Words: Pelvic bones; Abdominal injuries


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