Khoriati Al-Achraf, Rajakulasingam Ramyah, Shah Rakhee
Department of Trauma and Orthopaedics, Lister Hospital, Stevenage SG1 4AB, Hertfordshire, England.
J Emerg Trauma Shock. 2013 Apr;6(2):113-6. doi: 10.4103/0974-2700.110763.
Sternal fractures are predominantly associated with deceleration injuries and blunt anterior chest trauma. Sternal trauma must be carefully evaluated by monitoring of vital parameters and it is of paramount importance that concomitant injuries are excluded. Nevertheless, routine admission of patients with isolated sternal fractures for observation is still common in today's practice, which is often unnecessary. This article aims to describe the prognosis, the recommended assessment and management of patients with sternal fractures, to help clinicians make an evidence-based judgment regarding the need for hospitalization.
胸骨骨折主要与减速伤和钝性前胸外伤相关。必须通过监测生命体征对胸骨外伤进行仔细评估,排除合并伤至关重要。然而,目前临床实践中仍普遍常规收治单纯胸骨骨折患者进行观察,而这往往并无必要。本文旨在描述胸骨骨折患者的预后、推荐的评估及管理方法,以帮助临床医生就是否需要住院做出基于证据的判断。