Bartel M, Krüger C, Krüger A, Sellentin W
Z Gesamte Inn Med. 1977 Aug 15;32(16):397-401.
For an assessment of the late lesions after rib fractures 108 patients having had an accident between 1968 and 1973 were followed up. As to the individual signs observed, the patients were very heterogeneous. Radiodiagnostic, spirometric and scintigraphic data were compiled in order to characterize the late morphologic and functional lesions. By means of correlation and discrimination analyses as well as tests of significance we found that the extension of the late lesions depends either on the age of the patient nor on the number of fractured ribs but, instead, on concomitant intrathoracic lesions. The late morphologic lesions such as deformedly healed rib fractures and pleural thickening were the substrate for the ventilative and circulatory disturbances of the lung.
为评估肋骨骨折后的晚期病变，对1968年至1973年间发生事故的108例患者进行了随访。就所观察到的个体体征而言，患者具有很大的异质性。收集了放射诊断、肺功能测定和闪烁扫描数据，以描述晚期形态学和功能病变的特征。通过相关性分析、判别分析以及显著性检验，我们发现晚期病变的范围既不取决于患者的年龄，也不取决于肋骨骨折的数量，而是取决于并发的胸内病变。晚期形态学病变，如畸形愈合的肋骨骨折和胸膜增厚，是肺部通气和循环障碍的基础。
