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[侧胸壁严重内陷伤的治疗策略]

[Treatment strategy for severe implosion injuries of the lateral chest wall].

作者信息

Schulz-Drost Stefan, Spering Christopher

机构信息

Zentrum für Bewegungs- und Altersmedizin, Helios Kliniken Schwerin, Wismarsche Str. 397, 19055, Schwerin, Deutschland.

Klinik für Unfallchirurgie, orthopädische Chirurgie, Universitätsklinikum, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2024 Mar;127(3):188-196. doi: 10.1007/s00113-023-01406-w. Epub 2024 Jan 25.

DOI:10.1007/s00113-023-01406-w
PMID:38273139
Abstract

In the majority of cases implosion injuries to the thoracic wall are caused by blunt, massive force acting on the thorax. Basically, different regions and directions of the acting energy have to be taken into account. In common usage, the term implosion injury has become established, especially for the sequelae of lateral energy impact. Particular attention should be paid to the stability of the shoulder girdle, the underlying hemithorax and its intrathoracic organs.

摘要

在大多数情况下,胸壁的内爆伤是由作用于胸部的钝性、巨大力量引起的。基本上,必须考虑作用能量的不同区域和方向。在一般用法中,内爆伤这个术语已经确立,特别是用于描述侧向能量冲击的后遗症。应特别注意肩胛带、其下方的半侧胸廓及其胸腔内器官的稳定性。

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2
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本文引用的文献

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Traumatic inflammatory response: pathophysiological role and clinical value of cytokines.创伤性炎症反应:细胞因子的病理生理作用及临床价值。
Eur J Trauma Emerg Surg. 2024 Aug;50(4):1313-1330. doi: 10.1007/s00068-023-02388-5. Epub 2023 Dec 27.
2
Surgical fixation of distal ulna neck and head fractures.尺骨颈及头骨折的手术固定。
Oper Orthop Traumatol. 2023 Dec;35(6):329-340. doi: 10.1007/s00064-023-00835-5. Epub 2023 Nov 9.
3
Minimally invasive plate osteosynthesis for clavicle fractures.锁骨骨折的微创钢板接骨术
Oper Orthop Traumatol. 2023 Apr;35(2):92-99. doi: 10.1007/s00064-023-00798-7. Epub 2023 Feb 1.
4
Monopolar and Bipolar Combination Injuries of the Clavicle: Retrospective Incidence Analysis and Proposal of a New Classification System.锁骨单极与双极联合损伤:回顾性发病率分析及新分类系统的提出
J Clin Med. 2021 Dec 9;10(24):5764. doi: 10.3390/jcm10245764.
5
The significance of a concomitant clavicle fracture in flail chest patients: incidence, concomitant injuries, and outcome of 12,348 polytraumata from the TraumaRegister DGU.连枷胸患者合并锁骨骨折的意义:创伤登记处德国创伤学会(TraumaRegister DGU)12348 例多发创伤患者的发生率、合并损伤和转归。
Eur J Trauma Emerg Surg. 2022 Oct;48(5):3623-3634. doi: 10.1007/s00068-021-01819-5. Epub 2021 Nov 5.
6
What is the optimal timing to perform surgical stabilization of rib fractures?肋骨骨折进行手术固定的最佳时机是什么?
J Thorac Dis. 2021 Aug;13(Suppl 1):S13-S25. doi: 10.21037/jtd-21-649.
7
Mapping of common rib fracture patterns and the subscapular flail chest associated with operative scapula fractures.常见肋骨骨折模式的定位与与肩胛骨手术骨折相关的肩胛下浮动胸。
J Trauma Acute Care Surg. 2021 Dec 1;91(6):940-946. doi: 10.1097/TA.0000000000003382.
8
[Osteosynthesis of the unstable thoracic wall].[不稳定胸壁的骨固定术]
Oper Orthop Traumatol. 2021 Jun;33(3):262-284. doi: 10.1007/s00064-020-00688-2. Epub 2020 Dec 8.
9
Operative Management of Rib Synostosis and Malunion: A Case Report.肋骨融合与畸形愈合的手术治疗:病例报告
JBJS Case Connect. 2020 Jul-Sep;10(3):e19.00368. doi: 10.2106/JBJS.CC.19.00368.
10
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Injury. 2020 Aug;51(8):1812-1816. doi: 10.1016/j.injury.2020.05.023. Epub 2020 May 23.