Pál S, István G, Edit V, Antal R
Magy Traumatol Orthop Helyreallito Seb. 1975;18(3):199-205.
The problems of the paradoxical respiration - observed in the case of fenestrated rib fracture - are discussed by the authors. On the basis of the data of the literature and of 348 own cases with covered rib fracture, as well as on the basis of the course and the clinical analysis of the lesion the authors refuse to admit the role of the "pendelluft" and of the mediastinal flutter in the development of circulatory and respiratory disorders occurring in the case of fenestrated rib fractures. In the authors' opinion, there are only quantitative differences between the consequences of the various rib fractures. The thoracal lesion is considered by the authors as functional unity. The treatment is always prescribed according to the degree of the functional disorder and also the classification of the injured patients is to be made on this basis.
作者们讨论了在开放性肋骨骨折病例中观察到的反常呼吸问题。基于文献数据、348例闭合性肋骨骨折的自身病例，以及基于损伤的病程和临床分析，作者们拒绝承认“摆动气”和纵隔扑动在开放性肋骨骨折时发生的循环和呼吸障碍发展过程中的作用。作者们认为，各种肋骨骨折的后果之间只有量的差异。作者们将胸部损伤视为一个功能整体。治疗总是根据功能障碍的程度来进行，并且也要在此基础上对受伤患者进行分类。
