Sewell R D, Steinberg M A
Good Shepherd Medical Group, Hermiston, Oregon 97838, USA.
Pediatrics. 2000 Nov;106(5):E71. doi: 10.1542/peds.106.5.e71.
The case report of a newborn female with osteogenesis imperfecta type II who underwent cardiopulmonary resuscitation (CPR) with manual chest compressions for several minutes is presented. Chest radiographs taken before and after the chest compressions were administered were reviewed by several radiologists from 3 different hospitals and demonstrated no new radiographically visible rib fractures. Collagen analysis, the patient's clinical appearance, and clinical course, as well as a consultant's opinion aided in confirmation of the diagnosis of osteogenesis imperfecta type II. A review of 4 previous studies concerning rib fractures and CPR is included. This unique case supports previous articles that have concluded that rib fractures rarely, if ever, result from CPR in pediatrics, even in children with a lethal underlying bone disease, such as osteogenesis imperfecta type II. cardiopulmonary resuscitation, chest compressions, osteogenesis imperfecta, rib fractures, bone disease.
本文报告了一名患有II型成骨不全的新生女婴病例，该女婴接受了数分钟的手动胸外按压心肺复苏术（CPR）。来自3家不同医院的多名放射科医生对胸外按压前后拍摄的胸部X光片进行了复查，结果显示没有新的可在X光片上看到的肋骨骨折。胶原蛋白分析、患者的临床表现和临床病程，以及专家意见均有助于确诊II型成骨不全。本文还纳入了对之前4项关于肋骨骨折与心肺复苏术研究的综述。这一独特病例支持了之前的文章所得出的结论，即即便在患有致命性潜在骨病（如II型成骨不全）的儿童中，儿科心肺复苏术导致肋骨骨折的情况也极为罕见，甚至几乎不会发生。心肺复苏术、胸外按压、成骨不全、肋骨骨折、骨病
