抄録
For patients with pelvic fracture, it has become the usual practice to choose the model of damage control according to the individual situation. However, the timing of radical surgery has received little attention. We examined the timing of radical surgery, postoperative complications and changes in platelet count, CRP and albumin levels in blood of patients with pelvic fracture. The platelet count increased within an average of 2.4 days, and the CRP level peaked within an average of 3.7 days. The albumin level increased within an average of 4.9 days. Surgery was performed within an average of 8.9 days.
Pape et al. I expected a peak of the SIRS with level of L-6. Matsuoka et al. expected a peak of the SIRS with platelet count and CRP. A albumin and CRP are acute-phase proteins. Therefore decrease of CRP and increase of albumin appear, inflammation calmed down, and it is the timing called of window of opportunity.
In this series, increase of albumin and the decrease of CRP appear on day 5-10 after injury, and we perfomed surgery 8.9 days.
