Sarıtaş Aykut, Güneren Gökhan, Sarıtaş Pelin Uzun, Kızılkaya Seyit Ali, Ugış Cengiz
Clinic of Anaesthesiology and Reanimation, Prof. Dr. A. İlhan Özdemir State Hospital, Giresun, Turkey.
Clinic of Chest Surgery, Milas State Hospital, Muğla, Turkey.
Turk J Anaesthesiol Reanim. 2014 Oct;42(5):277-9. doi: 10.5152/TJAR.2014.67044. Epub 2014 Jul 9.
Severe breathing problems arise in multiple rib fractures. As a result, many advantages of the surgical stabilization of the chest wall have been reported. Especially, shortening mechanical ventilation, along with a decrease in the duration of intensive care unit stay, is important for the prevention of possible infection complications. In this study, the dramatic improvement of the breathing pattern, as well as the reduction in ventilator duration after rib fixation time, of a 36-year-old patient with severe respiratory distress who had multiple rib fractures due to a road traffic accident was discussed. Due to this fact, it is concluded that patients could be discharged from the hospital earlier and uncomplicated as a result of fixation of the rib with the right indications.
多根肋骨骨折会引发严重的呼吸问题。因此，已有多项关于胸壁手术固定的优势报道。特别是缩短机械通气时间以及减少重症监护病房停留时间，对于预防可能的感染并发症至关重要。在本研究中，讨论了一名因道路交通事故导致多根肋骨骨折、患有严重呼吸窘迫的36岁患者，在肋骨固定术后呼吸模式的显著改善以及呼吸机使用时间的缩短。基于此，得出结论：在有正确适应症的情况下对肋骨进行固定，患者能够更早且无并发症地出院。
