骨科英文书籍精读（203）｜骨盆骨折并发症
中国十大名师之一赖世雄老师说过，学习英语没有捷径，少就是多，快就是慢。不要以量取胜，把一个音标、一个单词、一段对话、一篇文章彻底搞透，慢慢积累，你会发现，你并不比每天走马观花的输入大量英文学的差。
Complications
Thromboembolism
A careful watch should be kept for signs of deep vein thrombosis or pulmonary embolism (Montgomery et al., 1996). Prophylactic anticoagulants are advocated in some hospitals.
Sciatic nerve injury
It is essential to test for sciatic nerve function both before and after treating the pelvic fracture. If the nerve is injured it is usually a neuropraxia and one can afford to wait several weeks for signs of recovery. Occasionally, though, nerve exploration is necessary.
Urogenital problems
Urethral injuries sometimes result in stricture, incontinence or impotence and may require further treatment.
Persistent sacroiliac pain
Unstable pelvic fractures are often associated with partial or complete sacroiliac joint disruption, and this can lead to persistent pain at the back of the pelvis. Occasionally arthrodesis of the sacroiliac joint is needed.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
Thromboembolism /ˌθrɑːmboʊˈembəˌlɪzəm/n. [病理] 血栓栓塞
pulmonary embolism肺栓塞；肺血管阻塞症
Prophylactic /ˌproʊfəˈlæktɪk/n. 预防性药物（或器具、措施）；预防法；避孕用具adj. 预防性的，预防疾病的
anticoagulant /ˌæntikoʊˈæɡjələnt/n. （助剂）抗凝血剂adj. 抗凝血的
Sciatic nerve 坐骨神经
/saɪˈætɪk/adj. 坐骨的；坐骨神经的；髋部的
neuropraxia神经失用症
Urogenital /,jʊro'dʒenətl/adj. [解剖] 泌尿生殖器的
stricture /ˈstrɪktʃər/n. 狭窄；苛评；非难
incontinence /ɪnˈkɑːntɪnəns/n. [医] 失禁；无节制；不能自制
impotence/ˈɪmpətəns/n. [泌尿][中医] 阳萎；虚弱；无效（等于impotency）
sacroiliac /ˌsækroʊˈɪliˌæk; ˌseɪkroʊˈɪliˌæk/n. 骶骼骨关节adj. 骶髂的；骶髂关节的
Unstable pelvic fractures are often associated with partial or complete sacroiliac joint disruption, and this can lead to persistent pain at the back of the pelvis. Occasionally arthrodesis of the sacroiliac joint is needed.不稳定的骨盆骨折常伴有部分或完全骶髂关节断裂，这会导致骨盆后部持续疼痛。偶尔需要进行骶髂关节融合术。
arthrodesis /ɑ:'θrɔdəsis/
n. [外科] 关节固定术;关节融合术
百度翻译：
难题
血栓栓塞
应仔细观察深静脉血栓形成或肺栓塞的迹象（Montgomery等人，1996年）。一些医院提倡使用预防性抗凝剂。
坐骨神经损伤
骨盆骨折治疗前后均需进行坐骨神经功能检测。如果神经受损，通常是神经衰弱，人们可以等上几个星期等待恢复的迹象。不过，偶尔需要进行神经探查。
泌尿生殖系统问题
尿道损伤有时会导致狭窄、尿失禁或阳痿，可能需要进一步治疗。
持续性骶髂痛
不稳定骨盆骨折常伴有部分或完全骶髂关节破裂，这可能导致骨盆后部持续疼痛。偶尔需要骶髂关节融合术。