钝性胸部创伤：肋骨固定术是否有其用武之地？
Blunt chest trauma: is there a place for rib stabilization?
作者信息
Mitchell John D
机构信息
Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, University of Colorado School of Medicine, Aurora, USA.
出版信息
J Thorac Dis. 2017 Apr;9(Suppl 3):S211-S217. doi: 10.21037/jtd.2017.04.05.
Abstract
Rib fractures are a common and highly morbid finding in patients with blunt chest trauma. Over the past decade, a renewed interest in (and instrumentation for) rib fixation in this cohort has occurred. Stabilization of the chest wall in this setting, particularly when a flail segment is present, is associated with significant reductions in the rates of respiratory failure, pneumonia, ICU stay, and mortality. Thoracic surgeons should remain actively involved in this evolving area of our specialty to further optimize patient outcomes.
摘要
肋骨骨折是钝性胸部创伤患者中常见且具有高度致残性的表现。在过去十年中，人们对该群体的肋骨固定（以及相关器械）重新产生了兴趣。在这种情况下稳定胸壁，尤其是存在连枷胸段时，与呼吸衰竭、肺炎、重症监护病房住院时间及死亡率的显著降低相关。胸外科医生应积极参与到我们专业领域的这一不断发展的领域中，以进一步优化患者的治疗效果。
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