Labitzke R
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:414-5.
The improvement of mechanical respiration by surgical stabilization of the chest wall is an important measure to reduce disadvantages and complications of long time respiratory treatment. Indications are: (1) Chest wall instability with indication for emergency thoracotomy; (2) Respiratory insufficiency mainly caused by chest wall instability; (3) Respiratory insufficiency due to severe laceration of intrathoracical organs with additional chest wall instability as an obstacle for sufficient respirator treatment.
通过胸壁手术稳定来改善机械通气是减少长时间呼吸治疗的弊端和并发症的一项重要措施。适应症为:(1)胸壁不稳定且有急诊开胸手术指征;(2)主要由胸壁不稳定导致的呼吸功能不全;(3)由于胸内器官严重裂伤导致的呼吸功能不全,同时伴有胸壁不稳定,这成为充分进行呼吸机治疗的障碍。