Division of Pathology, Department of Paediatric Laboratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Resuscitation. 2011 May;82(5):545-8. doi: 10.1016/j.resuscitation.2010.12.024. Epub 2011 Feb 26.
A recent increase in the number of infants presenting at autopsy with rib fractures associated with cardio-pulmonary resuscitation (CPR) precipitated a study to determine whether such a phenomenon was related to recent revision of paediatric resuscitation guidelines.
We conducted a review of autopsy reports from 1997 to 2008 on 571 infants who had CPR performed prior to death.
Analysis of the study population revealed CPR-related rib fractures in 19 infants (3.3%), 14 of whom died in the 2006-2008 period. The difference in annual frequency of CPR-related fractures between the periods before and after revision of paediatric CPR guidelines was statistically highly significant.
The findings indicate that CPR-associated rib fractures have become more frequent in infants since changes in CPR techniques were introduced in 2005. This has important implications for both clinicians and pathologists in their assessment of rib fractures in this patient population.
最近在接受心肺复苏术（CPR）的尸检婴儿中，肋骨骨折的数量有所增加，这促使我们进行了一项研究，以确定这种现象是否与最近对儿科复苏指南的修订有关。
我们对 1997 年至 2008 年期间 571 例接受 CPR 治疗后死亡的婴儿的尸检报告进行了回顾。
对研究人群的分析显示，19 例婴儿（3.3%）存在与 CPR 相关的肋骨骨折，其中 14 例发生在 2006-2008 年期间。修订儿科 CPR 指南前后 CPR 相关骨折的年度发生率差异具有统计学显著意义。
这些发现表明，自 2005 年 CPR 技术发生变化以来，CPR 相关的肋骨骨折在婴儿中变得更加频繁。这对临床医生和病理学家在评估该患者人群中的肋骨骨折时具有重要意义。
