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[因多发性肋骨骨折和呼吸功能不全导致不稳定胸廓的重建指征]

[Indications for the reconstruction of the unstable thorax due to serial rib fractures and respiratory insufficiency].

作者信息

Schüpbach P, Meier P

出版信息

Helv Chir Acta. 1976 Dec;43(5-6):497-502.

PMID:1002505
Abstract

Because of the impending danger of bronchopneumonial infection caused by hospital germs we consider it of utmost importance in the care and treatment of patients with instable thorax to shorten the period of intubation and artificial respiration. By stabilizing 3 or 4 chozen ribs within the flailing chest wall, we found it possible to significantly reduce the period of intubation, intensive care and hospitalisation. The splinting of several ribs individually by introducing socalled "Rehbein plates" into the medullary cavity of those in question proved to be a trustworthy method in achieving this goal.

摘要

由于医院病菌引发支气管肺炎感染的潜在危险,我们认为在不稳定胸部患者的护理和治疗中,缩短插管和人工呼吸时间至关重要。通过稳定连枷胸壁内选定的3或4根肋骨,我们发现有可能显著缩短插管、重症监护和住院时间。通过将所谓的“雷贝因钢板”插入相关肋骨的骨髓腔来分别固定几根肋骨,被证明是实现这一目标的可靠方法。

相似文献

1
[Indications for the reconstruction of the unstable thorax due to serial rib fractures and respiratory insufficiency].[因多发性肋骨骨折和呼吸功能不全导致不稳定胸廓的重建指征]
Helv Chir Acta. 1976 Dec;43(5-6):497-502.
2
[Therapy of the unstable thorax in serial fractures of the ribs].[肋骨连续骨折中不稳定胸廓的治疗]
Schweiz Med Wochenschr. 1978 Apr 22;108(16):608-13.
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Influence of flail chest on outcome among patients with severe thoracic cage trauma.连枷胸对严重胸廓创伤患者预后的影响。
Int Surg. 2002 Oct-Dec;87(4):240-4.
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[Indications and methods for the surgical stabilization of an unstable thorax caused by multiple fractures of the ribs (author's transl)].肋骨多处骨折所致不稳定胸廓手术固定的适应症与方法(作者译)
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:408-13.
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[The unstable thoracic wall: possibilities for treatment].[不稳定胸壁:治疗的可能性]
Helv Chir Acta. 1991 Jul;58(1-2):77-82.
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[Osteosynthesis of the ribs in the unstable thoracic cage after injury with reconstruction using the AO plate].[损伤后使用AO钢板重建不稳定胸廓时肋骨的骨合成]
Acta Chir Iugosl. 1982;29(2):189-97.
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The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure.钛弹性髓内钉手术固定多发肋骨骨折用于钝性胸部创伤合并急性呼吸衰竭
Surg Endosc. 2016 Jan;30(1):388-95. doi: 10.1007/s00464-015-4207-9. Epub 2015 Apr 15.
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Recognition and management of flail chest.连枷胸的识别与处理
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[Internal fixation of fractured ribs with Kirschner wires for serious traumatic chest instability].用克氏针内固定治疗严重创伤性胸部不稳定的肋骨骨折
Zhonghua Wai Ke Za Zhi. 1991 Mar;29(3):190-1, 207.
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[Current attitudes on the treatment of traumatic mobile parietal flaps of the thorax].[关于胸部创伤性可移动顶叶皮瓣治疗的当前态度]
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Operative stabilization of flail chest injuries: review of literature and fixation options.连枷胸损伤的手术稳定治疗:文献综述与固定选择
Eur J Trauma Emerg Surg. 2010 Oct;36(5):427-33. doi: 10.1007/s00068-010-0027-8. Epub 2010 Jun 3.