Dittmann M, Ferstl A, Wolff G
Eur J Intensive Care Med. 1975 May;1(2):71-5. doi: 10.1007/BF00626429.
Epidural analgesia can be the choice of therapy for all patients with ribfractures and only minor coexisting injuries who are conscious and able to cooperate. In these cases we believe that EA is equivalent or even better than artificial ventilation with all its problems. Generally these patients are far easier to handle and one needs less nursing staff. The dignity of the patients can be maintained and the convalescent time in the intensive care unit is shorter. The criteria for the treatment and for measuring the progress of the patients with multiple ribfractures are discussed.
硬膜外镇痛可作为所有肋骨骨折且仅伴有轻微合并伤、意识清醒且能够配合的患者的治疗选择。在这些情况下，我们认为硬膜外镇痛等同于甚至优于存在诸多问题的人工通气。一般来说，这些患者更易于处理，所需护理人员更少。患者的尊严能够得以维护，在重症监护病房的康复时间也更短。本文还讨论了多根肋骨骨折患者的治疗标准及病情进展评估标准。
