Senekjian Lara, Nirula Raminder
Department of Surgery, University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
Department of Surgery, University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
Crit Care Clin. 2017 Jan;33(1):153-165. doi: 10.1016/j.ccc.2016.08.009.
Rib fractures are a frequently identified injury in the trauma population. Not only are multiple rib fractures painful, but they are associated with an increased risk of adverse outcomes. Pneumonia in particular can be devastating, especially to an elderly patient, but other complications such as prolonged ventilation and increased intensive care and hospital durations of stay have a negative impact on the patient. Computed tomography scan is the best modality to diagnosis rib fractures but the treatment of fractures is still evolving. Currently patient care involves a multidisciplinary approach that includes pain control, aggressive pulmonary therapy, and possibly surgical fixation.
肋骨骨折是创伤人群中常见的损伤。多根肋骨骨折不仅疼痛，而且会增加不良后果的风险。特别是肺炎可能是毁灭性的，对老年患者尤其如此，但其他并发症，如通气时间延长、重症监护时间和住院时间增加，都会对患者产生负面影响。计算机断层扫描是诊断肋骨骨折的最佳方式，但骨折的治疗仍在不断发展。目前，患者护理采用多学科方法，包括疼痛控制、积极的肺部治疗以及可能的手术固定。
