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骨盆骨折合并后尿道损伤,早期处理不当,易发生疤痕性尿道狭窄,甚至尿道闭塞,尿道扩张不易成功,需要二次手术治疗。我院1973～1981年对8例骨盆骨折合并后尿道完全断裂伴有休克的病人,在抗休克的基础上,经耻骨后入路行一期尿道修补,疗效满意,现报道如下。临床资料本组病例均为男性。最小年龄14岁,最大40岁。尿道损伤原因:交通事故6例,挤压伤1例,砸伤1例。全部因骨盆骨折造成后尿道完全断裂。伤后平均在10小时内住院,血压0为1例,60～40/30～20mmHg 5例,80～60/40～30mmHg 2例。入院时外
Pelvic fracture combined with posterior urethral injury, improper early treatment, prone to scar urethral stricture, and even urethral occlusion, urethral dilatation difficult to succeed, the need for second surgery. Our hospital from 1973 to 1981, 8 cases of pelvic fractures combined with complete rupture of the urethra with shock patients, on the basis of anti-shock, through the retropubic line a urethral repair, the effect is satisfactory, are reported below. Clinical data of this group of patients are male. The youngest 14 years old, up to 40 years old. Urethral injury causes: 6 cases of traffic accidents, 1 case of crush injury, 1 case of bruising. All posterior urethra caused by pelvic fracture completely broken. The average hospital stay was within 10 hours after injury. Blood pressure was 0 in 1 case, 60 to 40/30 to 20 mmHg in 5 cases and 80 to 60/40 to 30 mmHg in 2 cases. Outside admission