Tiwari Sandeep, Singh Anita, Bhandari Paras, Ghatak Debmoy, Agarwal Harshit
Professor, Department of Trauma Surgery, KGMU, Lucknow, India.
Assistant Professor, Department of Trauma Surgery, KGMU, Lucknow, India.
Trop Doct. 2021 Jul;51(3):425-427. doi: 10.1177/0049475520981264. Epub 2020 Dec 23.
The incidence of sternal fracture ranges from 3 to 8%. In more than half, they are associated with other organ trauma such as blunt cardiac injuries, rib, scapular or vertebral fractures. Hence, the presence of sternal fracture is considered a marker for significant transmission of energy. The management of isolated sternal fractures is usually non-operative with surgery reserved for displaced fractures or in cases of respiratory insufficiency. However, management may become challenging when they are associated with other significant trauma. We discuss a case of sternal fracture complicated by the presence of blunt cardiac injury, open pneumothorax, rib fractures, anterior flail chest and empyema.
胸骨骨折的发生率在3%至8%之间。超过半数的病例中，胸骨骨折与其他器官损伤相关，如钝性心脏损伤、肋骨、肩胛骨或脊椎骨折。因此，胸骨骨折的存在被视为能量显著传递的一个标志。孤立性胸骨骨折的治疗通常采用非手术方法，手术仅用于移位骨折或呼吸功能不全的病例。然而，当胸骨骨折与其他严重创伤相关时，治疗可能会变得具有挑战性。我们讨论一例合并钝性心脏损伤、开放性气胸、肋骨骨折、前胸壁连枷胸和脓胸的胸骨骨折病例。
