Albers J E, Rath R K, Glaser R S, Poddar P K
Ann Thorac Surg. 1982 Jun;33(6):614-8. doi: 10.1016/s0003-4975(10)60822-3.
The benign condition of isolated first rib fracture is compared with the severity of intrathoracic injuries resulting from first rib fracture associated with multiple rib injuries. Seventy-five patients with 90 first rib fractures were divided into two groups. Group 1 (n = 13) included those with isolated first rib fractures and Group 2 (n = 62), those with first-rib fractures associated with multiple rib injuries. In Group 1 patients, intrathoracic injuries were mild with no major vascular injuries. Conversely, Group 2 patients sustained severe intrathoracic injury, 58% of them with aortic injury. Stress is placed on early diagnosis, assigning of priority to associated injuries, and early operative intervention.
将单纯第一肋骨骨折的良性情况与第一肋骨骨折合并多根肋骨损伤所致的胸内损伤严重程度进行比较。90例第一肋骨骨折的75例患者被分为两组。第一组（n = 13）包括单纯第一肋骨骨折患者，第二组（n = 62）包括第一肋骨骨折合并多根肋骨损伤患者。第一组患者胸内损伤较轻，无重大血管损伤。相反，第二组患者遭受严重胸内损伤，其中58%伴有主动脉损伤。强调早期诊断、优先处理合并伤以及早期手术干预。
