Enarson D A, Didier E P, Gracey D R
Heart Lung. 1977 Nov-Dec;6(6):1020-2.
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.
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。