Sturm J T, Hynes J T, Perry J F
Department of Emergency Medicine, St. Paul-Ramsey Medical Center, Minnesota.
Ann Thorac Surg. 1990 Dec;50(6):931-3. doi: 10.1016/0003-4975(90)91123-s.
We analyzed the frequency of occurrence of traumatic aortic rupture (TAR) in patients with and without thoracic spinal fractures. Among 4,676 blunt chest trauma victims admitted to the hospital between 1972 and 1988, 148 (3.2%) suffered one or more thoracic vertebral fractures. There were 73 patients with one or more fractures of the first eight thoracic vertebrae (T1 to T8); of these 73, 4 also suffered TAR (5.5%). There were 4,603 patients without fractures of T1 to T8, and 64 of these patients also suffered TAR (1.4%). This difference was significant by the chi2 and Fisher exact tests, p = 0.00378 and p = 0.021003, respectively. Additionally, all 5 patients with TAR and thoracic vertebral fractures died. We conclude that patients with one or more fractures of T1 to T8 have a statistically significant increase in the incidence of TAR.
我们分析了有和没有胸椎骨折的患者中创伤性主动脉破裂（TAR）的发生率。在1972年至1988年间入院的4676名钝性胸部创伤患者中，148名（3.2%）发生了一处或多处胸椎骨折。有73名患者发生了第一至八胸椎（T1至T8）的一处或多处骨折；在这73名患者中，4名也发生了TAR（5.5%）。有4603名患者没有T1至T8骨折，其中64名患者也发生了TAR（1.4%）。经卡方检验和Fisher精确检验，这种差异具有显著性，p值分别为0.00378和0.021003。此外，所有5名发生TAR和胸椎骨折的患者均死亡。我们得出结论，T1至T8有一处或多处骨折的患者TAR发生率有统计学意义的增加。
