Harley D P, Mena I
J Trauma. 1986 Jun;26(6):553-5. doi: 10.1097/00005373-198606000-00011.
A 5-year experience with 12 sternal fractures treated at the Los Angeles County Harbor/UCLA Medical Center is presented. Our data indicate that sternal fractures with roentgenographic mediastinal widening commonly have associated aortic injuries. There is an almost uniform depression of right ventricular or anterior left ventricular function associated with sternal fractures and these cardiac sequelae are documentable by first-pass biventricular radionuclide angiography including left ventricular segmental wall motion analysis. These data facilitate the management of patients with complex hemodynamic problems. In contrast, the incidence of displaced or unstable fractures is very low. Only one patient in this series had a depressed manubriosternal fracture, and no injury necessitated surgical stabilization. The outcome of isolated sternal fractures is benign, and they should be viewed as harbingers of the discovery of other injuries.
本文介绍了洛杉矶县港/UCLA医疗中心对12例胸骨骨折进行的5年治疗经验。我们的数据表明，X线显示纵隔增宽的胸骨骨折通常伴有主动脉损伤。胸骨骨折几乎都伴有右心室或左心室前壁功能的一致减退，这些心脏后遗症可通过首次通过双心室放射性核素血管造影（包括左心室节段性壁运动分析）得以记录。这些数据有助于处理伴有复杂血流动力学问题的患者。相比之下，移位或不稳定骨折的发生率非常低。本系列中只有1例患者有胸骨柄胸骨骨折凹陷，且无损伤需要手术固定。单纯胸骨骨折的预后良好，应将其视为发现其他损伤的先兆。
