老年患者的孤立性肋骨骨折。
Isolated rib fractures in geriatric patients.
机构信息
Cardio-Thoracic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
出版信息
Ann Thorac Med. 2007 Oct;2(4):166-8. doi: 10.4103/1817-1737.36552.
INTRODUCTION
The goal of this study was to investigate the short-term outcomes in patients older than 60 years with isolated rib fractures and admitted to emergency hospital.
MATERIALS AND METHODS
This study included patients who were 60 years old or more and sustained blunt chest injury and had isolated rib fractures. The following data were obtained from the medical records: age, gender, number of fracture ribs, side of fracture ribs, mechanism and nature of injury, preexisting medical conditions, complications, admission to intensive care unit (ICU), need for mechanical ventilation, length of ICU and hospital stay and mortality.
RESULTS
For the study, 39 patients who were 60 years old or more and admitted to the hospital because of isolated rib fractures were enrolled. There were 28 males (71.7%) and 11 females (28.3%) with mean age of (66.84 +/- 4.7) years. No correlation was found between comorbidities and hospital outcomes except in those who were diabetic (P-value = 0.005) and those with chronic lung disease (P-value = 0.006). Pulmonary complications were the most frequent complications encountered in those patients. Pulmonary complications were: lung contusion in 8 patients (20.5%) and pulmonary infection in 6 patients (15.8%).
CONCLUSION
Elderly patients sustaining blunt chest trauma had significant morbidity and potential for mortality.
介绍
本研究旨在探讨因单纯性肋骨骨折而入住急诊医院的 60 岁以上患者的短期预后。
材料与方法
本研究纳入年龄在 60 岁及以上、钝性胸部损伤并伴有单纯性肋骨骨折的患者。从病历中获取以下数据：年龄、性别、骨折肋骨数量、骨折肋骨侧别、损伤机制和性质、既往病史、并发症、入住重症监护病房（ICU）、需要机械通气、ICU 和住院时间以及死亡率。
结果
本研究共纳入 39 例因单纯性肋骨骨折而住院的 60 岁及以上患者，其中男性 28 例（71.7%），女性 11 例（28.3%），平均年龄（66.84 +/- 4.7）岁。除糖尿病患者（P 值=0.005）和慢性肺部疾病患者（P 值=0.006）外，其他合并症与住院结局之间无相关性。这些患者最常见的并发症是肺部并发症：8 例（20.5%）肺挫伤和 6 例（15.8%）肺部感染。
结论
老年患者钝性胸部创伤的发病率较高，且存在潜在的死亡风险。
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