Metaxas Efestasios K, Condilis Nicolas, Tzatzadakis Nicolas, Dervisoglou Athanasios, Gerazounis Michael I, Athanasas George
Department of Thoracic Surgery, General State Hospital of Nikaia "Agios Panteleimon" Piraeus, Greece.
Ann Ital Chir. 2006 Sep-Oct;77(5):379-83.
To determine the incidence of sternal fracture as an isolated injury as well as those which presented with concomitant injuries, and compare them in order to manage them more effectively. The Greek and International Literature related to the subject was also reviewed.
From 1984 to 2002 the Authors treated 134 patients with sternal fracture in the Department of Thoracic Surgery of their hospital, 59 males and 45 females, age from 17 to 84 years. Ninety patients had isolated sternal fracture and 44 sustained in addition fractured ribs, flail chest, pneumo-haemothorax, pneumo-haemomediastinum, some of them experienced respiratory failure, vertebral fractures, myocardial infarction, heart contusion, pericarditis, head injuries, fractures of upper lower limbs and intraperitoneal bleeding. Twelve patients were admitted in ITU and 4 with multiple trauma were fatally injured. Aortic tears or ruptures didn't occur in any of our patients. Sternal fracture as an isolated injury has a better prognosis compared to those with associated injuries.
The management of sternal fracture is usually conservative with a good outcome, provided early diagnosis and treatment of concomitant injuries is offered from a well-trained and experienced medical team.
确定单纯性胸骨骨折以及伴有其他损伤的胸骨骨折的发生率，并对其进行比较，以便更有效地进行处理。还对希腊及国际上与该主题相关的文献进行了综述。
1984年至2002年，作者所在医院胸外科共治疗了134例胸骨骨折患者，其中男性59例，女性45例，年龄在17至84岁之间。90例为单纯性胸骨骨折，44例除胸骨骨折外还伴有肋骨骨折、连枷胸、血气胸、纵隔气肿、其中部分患者出现呼吸衰竭、椎体骨折、心肌梗死、心脏挫伤、心包炎、头部损伤、上下肢骨折及腹腔内出血。12例患者入住重症监护病房，4例多发伤患者死亡。我们的患者中未发生主动脉撕裂或破裂。与伴有其他损伤的患者相比，单纯性胸骨骨折的预后更好。
胸骨骨折的治疗通常采用保守治疗，效果良好，前提是由训练有素、经验丰富的医疗团队对伴发损伤进行早期诊断和治疗。
