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连枷胸作为心肺复苏的并发症。

Flail chest as a complication of cardiopulmonary resuscitation.

作者信息

Enarson D A, Didier E P, Gracey D R

出版信息

Heart Lung. 1977 Nov-Dec;6(6):1020-2.

PMID:244316
Abstract

Records of all patients who developed flail chest after cardiopulmonary resuscitation at Rochester Methodist Hospital between January, 1966 and March 1976 were reviewed. Also, for comparison, records of patients with flail chest resulting from motor vehicle accidents and those of a matched group of patients who underwent cardiopulmonary resuscitation without developing flail chest were reviewed. The incidence of flail chest after cardiopulmonary resuscitation was about 5.6 per 100 survivors. The groups who did and did not have flail chest after cardiopulmonary resuscitation were alike in age and in frequency and duration of the resuscitation. Stabilization of the flail chest required mechanical ventilation for 1 to 24 days (mean, 10.7). Flail chest did not significantly lengthen the hospitalization of patients who survived after cardiopulmonary resuscitation. The occurrence of flail chest after cardiopulmonary resuscitation did not seem to increase the mortality rate.

摘要

回顾了1966年1月至1976年3月期间在罗切斯特卫理公会医院接受心肺复苏后发生连枷胸的所有患者的记录。此外,为了进行比较,还回顾了因机动车事故导致连枷胸的患者记录以及一组接受心肺复苏但未发生连枷胸的匹配患者记录。心肺复苏后连枷胸的发生率约为每100名幸存者中有5.6例。心肺复苏后发生和未发生连枷胸的两组患者在年龄、复苏频率和持续时间方面相似。连枷胸的稳定需要机械通气1至24天(平均10.7天)。连枷胸并未显著延长心肺复苏后存活患者的住院时间。心肺复苏后发生连枷胸似乎并未增加死亡率。

相似文献

1
Flail chest as a complication of cardiopulmonary resuscitation.连枷胸作为心肺复苏的并发症。
Heart Lung. 1977 Nov-Dec;6(6):1020-2.
2
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Management of 150 flail chest injuries: analysis of risk factors affecting outcome.150例连枷胸损伤的治疗:影响预后的危险因素分析
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Age-adjusted outcomes in traumatic flail chest injuries in the elderly.老年人创伤性连枷胸损伤的年龄调整结局
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[Complications of cardiopulmonary resuscitation].[心肺复苏的并发症]
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Flail chest as a marker for significant injuries.连枷胸作为严重损伤的一个标志。
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[Surgical fixation of the ribs for flail chest injuries].[连枷胸损伤的肋骨手术固定]
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引用本文的文献

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A rare complication of cardiopulmonary resuscitation applied during transportation by ambulance: A case report of flail chest.救护车转运途中实施心肺复苏的罕见并发症:连枷胸病例报告
Turk J Emerg Med. 2022 Jul 1;22(3):159-162. doi: 10.4103/2452-2473.348437. eCollection 2022 Jul-Sep.
2
Chest Compression-Related Flail Chest Is Associated with Prolonged Ventilator Weaning in Cardiac Arrest Survivors.胸部按压相关连枷胸与心脏骤停幸存者机械通气脱机时间延长有关。
J Clin Med. 2022 Apr 7;11(8):2071. doi: 10.3390/jcm11082071.
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Iatrogenic rib fractures and the associated risks of mortality.
医源性肋骨骨折及其相关死亡风险。
Eur J Trauma Emerg Surg. 2022 Feb;48(1):231-241. doi: 10.1007/s00068-020-01598-5. Epub 2021 Jan 26.
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Compression, distortion and dislodgement of large caliber stents in congenital heart defects caused by cardiopulmonary resuscitation: a case series and review of the literature.心肺复苏导致先天性心脏病中大口径支架压缩、变形和移位:病例系列及文献复习。
Clin Res Cardiol. 2014 Sep;103(9):719-25. doi: 10.1007/s00392-014-0706-2. Epub 2014 Apr 4.
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A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries.心肺复苏相关心血管和胸部损伤的系统评价与汇总分析
Resuscitation. 2014 Jun;85(6):724-31. doi: 10.1016/j.resuscitation.2014.01.028. Epub 2014 Feb 10.