Evidências sobre o manejo do trauma pélvico / Evidence on the management of pelvic trauma
DOI:
https://doi.org/10.34119/bjhrv5n2-037Keywords:
pelve, trauma, manejoAbstract
As lesões pélvicas variam de benignas a fatais, elas incluem fraturas do anel pélvico, fraturas acetabulares e lesões por avulsão, a maioria das lesões pélvicas se deve a trauma contuso de alta energia, embora pacientes frágeis e idosos possam sofrer tais lesões por um mecanismo de baixa energia, como quedas. As fraturas pélvicas representam aproximadamente 3% das lesões esqueléticas, a mortalidade geral por fraturas pélvicas varia de 5 a 16%, com a taxa de fraturas instáveis de aproximadamente 8%. Os tipos de fratura pélvica incluem rupturas de anel, fraturas sacrais, fraturas acetabulares e lesões por avulsão, os achados do exame físico associados a um risco aumentado de lesão pélvica incluem posição anormal das extremidades inferiores, equimose no flanco, perineal ou escrotal, sensibilidade na pelve óssea, especialmente no sacro e nas articulações sacroilíacas, fraqueza focal da extremidade inferior ou sensação diminuída e hematúria ou sangramento do reto ou vaginaReferences
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