골반환 손상
Pelvic Ring Injury
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초록
골반은 체중부하를 하지로 전달하고 복부 및 골반강내의 장기를 보호하는 기능을 가지고 있다. 대부분의 골반 골절은 큰 외력에 의해 발생하므로 신체 다른 부위의 동반 손상이 흔하다. 이러한 문제가 환자의 전신 상태 및 치료의 예후에 중대한 영향을 미칠 수 있다. 그러므로 골절에 대한 직접적인 치료 이전에 환자의 전신 상태에 대한 파악이 우선되어야 치사율과 합병증을 낮출 수 있 다. 환자의 상태가 안정된 후 단순 방사선 사진 및 CT 촬영 등을 통해 골절의 양상을 정확히 파악 하고 손상 기전에 대해 이해하여야 한다. 수술적 치료가 필요한 고 에너지 손상에 의한 불안정 골 반환 손상은 숙련된 전문 의사에 의해 수술이 시행되는 것이 추천되며 충분한 생역학적 이해를 통 해 합병증을 줄이고 좋은 결과를 얻을 수 있다.
Abstract
The function of the pelvic bone is to transmit the body weight to the lower extremities and protect the internal organs in the abdomen and pelvic cavity. Most pelvic fractures occur from high energy trauma, and injuries associated with other parts of the body are common. The characteristics of pelvic fractures may have a significant effect on the patient’s general condition and prognosis after treatment. Therefore, the patient’s general condition should be considered before treating pelvic fractures to decrease the complications and mortality. After the patient’s vital signs are stabilized, simple X-rays and CT should be examined to evaluate the fracture pattern and possible injury mechanism. A high energy induced pelvic ring injury should be treated by experienced surgeons and the biomechanics should be understood completely beforehand to achieve the best possible result.
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