Mayba I I
Orthopaedic Surgery, University of Manitoba Health Sciences Center, General Hospital, Winnipeg, Canada.
Orthop Rev. 1986 Jun;15(6):364-72.
Trauma cases admitted to hospitals are often associated with chest-cage injuries. Sternal injuries may be overlooked and may cause persistent pain. Sternal injuries were reviewed at the Health Sciences Center General Hospital from 1963 to 1983 to ascertain the severity of chest-cage trauma and complications from this type of injury, including long-term sequelae. Mechanisms of injury to the chest cage and sternum are discussed. Osteoporosis was noted to be a predisposing factor. Chylothorax and nonunion of the sternum were rare sequelae. Stabilization of the sternum and chest cage is often necessary early treatment. Motor vehicle accidents were by far the most common cause of trauma producing these injuries. Thirty-six cases of injury to the sternum form the basis for this review.
入住医院的创伤病例通常与胸廓损伤有关。胸骨损伤可能被忽视，并可能导致持续疼痛。1963年至1983年期间，在健康科学中心综合医院对胸骨损伤进行了回顾，以确定胸廓创伤的严重程度以及此类损伤的并发症，包括长期后遗症。讨论了胸廓和胸骨的损伤机制。骨质疏松被认为是一个诱发因素。乳糜胸和胸骨不愈合是罕见的后遗症。早期治疗时，胸骨和胸廓的固定通常是必要的。机动车事故是造成这些损伤的最常见创伤原因。36例胸骨损伤病例构成了本综述的基础。
