Wilson J M, Thomas A N, Goodman P C, Lewis F R
Arch Surg. 1978 Jul;113(7):846-9. doi: 10.1001/archsurg.1978.01370190068011.
Patients who sustain fracture of either the first or second rib have severe injuries usually involving multiple systems. In comparing 71 patients with first rib fractures and 49 patients with second rib fractures, we found morbidity and mortality to be similar. A multidisciplinary approach to management of these patients is described and vigorous diagnostic and therapeutic measures are warranted to promptly determine the extent of injury and minimize the frequency of missed diagnosis.
第一或第二肋骨骨折的患者通常伤势严重,往往涉及多个系统。在比较71例第一肋骨骨折患者和49例第二肋骨骨折患者时,我们发现其发病率和死亡率相似。本文描述了对这些患者的多学科管理方法,并且需要采取积极的诊断和治疗措施,以便迅速确定损伤程度并尽量减少漏诊频率。