摘要开放性骨盆骨折常涉及多系统损伤，发病急、伤情重、死亡率高、救治难度大。目前，提高开放性骨盆骨折患者的救治成功率、降低致残率与致死率存在很多挑战，国内外尚无开放性骨盆骨折诊疗相关指南。为规范开放性骨盆骨折的急救及早期诊疗，中华医学会骨科学分会、中国医师协会骨科医师分会和山东省医学会骨科学分会依据近年来国内外发表的文献资料及各医疗中心的临床经验，经相关领域专家深入讨论，基于牛津大学循证医学中心证据分级（2009版）制订了开放性骨盆骨折临床诊疗指南（2025年版）。指南基于开放性骨盆骨折院前急救、院内早期救治、后期重建和并发症处理等方面提出了18条推荐意见，旨在促进开放性骨盆骨折诊疗的规范化和标准化，降低急救死亡率和改善预后。

abstractsOpen pelvic fractures often involve multi-system injuries, with acute onset, serious injury, high mortality and difficult treatment. At present, there are many challenges in improving the success rate of treatment and reducing the disability and mortality rates of patients with open pelvic fractures. There are no national or international guidelines for the diagnosis and treatment of open pelvic fractures. In order to standardize the first aid and early diagnosis and treatment of open pelvic fractures, Chinese Orthopaedic Association, Chinese Association of Orthopaedic Surgeons, and Shandong Orthopaedic Association developed the guidelines for the clinical management of open pelvic fractures (2025 version) which are based on recent literature data from both domestic and international sources, as well as clinical expertise from various medical institutions and after in-depth discussion by the experts in the related fields, and based on the Oxford Centre for Evidence-based Medicine Evidence Grading (2009 version). The guideline provides 18 recommendations based on prehospital care, early treatment in hospital, late reconstruction and complication management of open pelvic fractures, aiming to promote the normalization and standardization of diagnosis and treatment of open pelvic fractures, reduce emergency mortality and improve prognosis.