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老年连枷胸合并肋骨骨折切开复位内固定术患者挽救生命措施的多学科方法:2例报告

Multidisciplinary Approach to Lifesaving Measures in the Elderly Individuals With Flail Chest Injury With ORIF of Rib Fractures: A Report of 2 Cases.

作者信息

Zegg Michael, Kammerlander Christian, Schmid Stefan, Roth Tobias, Kammerlander-Knauer Ursula, Gosch Markus, Luger Thomas J

机构信息

Department of Trauma Surgery, Medical University Innsbruck, Innsbruck, Austria.

出版信息

Geriatr Orthop Surg Rehabil. 2012 Dec;3(4):164-6. doi: 10.1177/2151458513476297.

DOI:10.1177/2151458513476297
PMID:23569711
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3598516/
Abstract

In this case report, we present 2 cases of flail chest in geriatric patients after severe blunt chest trauma, which were treated at the University Hospital Innsbruck (Level I Trauma Center and Tyrolean Geriatric Fracture Center) by a multidisciplinary team of physicians from anesthesia, intensive care, trauma surgery, and acute geriatrics. We want to point out the benefit of a multidisciplinary approach in geriatric patients with flail chest.

摘要

在本病例报告中,我们呈现了2例老年患者在严重钝性胸部创伤后发生连枷胸的病例,这些病例在因斯布鲁克大学医院(一级创伤中心和蒂罗尔老年骨折中心)由麻醉科、重症监护科、创伤外科和急性老年病科的多学科医生团队进行治疗。我们想指出多学科方法在老年连枷胸患者中的益处。

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本文引用的文献

1
The Tyrolean Geriatric Fracture Center: an orthogeriatric co-management model.蒂罗尔老年骨折中心:一种骨科与老年医学联合管理模式。
Z Gerontol Geriatr. 2011 Dec;44(6):363-7. doi: 10.1007/s00391-011-0253-7. Epub 2011 Dec 14.
2
Operative treatment of chest wall injuries: indications, technique, and outcomes.胸壁损伤的手术治疗:适应证、技术和结果。
J Bone Joint Surg Am. 2011 Jan 5;93(1):97-110. doi: 10.2106/JBJS.I.00696.
3
Surveyed opinion of American trauma, orthopedic, and thoracic surgeons on rib and sternal fracture repair.美国创伤外科、骨科和胸外科医生对肋骨和胸骨骨折修复的调查意见。
J Trauma. 2009 Mar;66(3):875-9. doi: 10.1097/TA.0b013e318190c3d3.
4
Rib fracture repair: indications, technical issues, and future directions.肋骨骨折修复:适应证、技术问题及未来方向。
World J Surg. 2009 Jan;33(1):14-22. doi: 10.1007/s00268-008-9770-y.
5
Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status.连枷胸的手术治疗与保守治疗。肺功能状态评估。
Interact Cardiovasc Thorac Surg. 2005 Dec;4(6):583-7. doi: 10.1510/icvts.2005.111807. Epub 2005 Sep 15.
6
Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients.内充气稳定的手术稳定化?重度连枷胸患者治疗的前瞻性随机研究。
J Trauma. 2002 Apr;52(4):727-32; discussion 732. doi: 10.1097/00005373-200204000-00020.
7
Operative stabilization of a flail chest six years after injury.
Ann Thorac Surg. 2001 Aug;72(2):600-1. doi: 10.1016/s0003-4975(00)02262-1.
8
Pulmonary function testing after operative stabilisation of the chest wall for flail chest.连枷胸胸壁手术固定术后的肺功能测试
Eur J Cardiothorac Surg. 2001 Sep;20(3):496-501. doi: 10.1016/s1010-7940(01)00818-1.
9
Surgical aspects of chronic post-thoracotomy pain.慢性开胸术后疼痛的外科治疗方面
Eur J Cardiothorac Surg. 2000 Dec;18(6):711-6. doi: 10.1016/s1010-7940(00)00569-8.
10
Rib fractures in the elderly.老年人肋骨骨折
J Trauma. 2000 Jun;48(6):1040-6; discussion 1046-7. doi: 10.1097/00005373-200006000-00007.