Schroeder L, Zierott G
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:511-4.
Follow-up examinations at regular intervals to recognize trauma-induced lesions are as essential for persons who have suffered a chest trauma as they are for cases of injury to the limbs. A classification into three groups according to the number of broken ribs relates satisfactorily with thoraco-pulmonary complications and residual damage. Injuries in group 1 leave practically no permanent damage; in group 2 they are apt to be followed by residual respiratory impairment while in group 3 the likelihood of permanent impairment of lung function is very high. Spirometry, roentgenography and fluoroscopy, and lung scanning are of special diagnostic value in assessing late sequelae of multiple rib fractures. Gas analyses are of little value. They would provide more accurate information if performed during exercise under standard conditions.
定期进行随访检查以识别创伤性损伤，对于胸部创伤患者和肢体受伤患者同样至关重要。根据肋骨骨折数量将患者分为三组，这与胸肺并发症和残留损伤情况具有良好的相关性。第1组损伤实际上不会造成永久性损害；第2组损伤容易导致残留呼吸功能障碍，而第3组肺功能永久性损害的可能性非常高。肺活量测定、X线摄影、荧光透视和肺部扫描在评估多根肋骨骨折的晚期后遗症方面具有特殊的诊断价值。气体分析价值不大。如果在标准条件下运动期间进行，它们会提供更准确的信息。
