Ziegler D W, Agarwal N N
York Hospital, Pennsylvania 17405.
J Trauma. 1994 Dec;37(6):975-9. doi: 10.1097/00005373-199412000-00018.
The incidence of rib fractures secondary to trauma has not been clearly reported. Of the 7147 patients seen by our trauma service from January 1987 to June 1992, 711 (10%) had rib fractures. Among the patients with rib fractures, 84 (12%) died, 670 (94%) had associated injuries, 274 (32%) had a hemothorax or pneumothorax, and 187 (26%) had a lung contusion. Fifty-five percent of the patients required an immediate operation or admission to the intensive care unit. Thirty-five percent of the patients required discharge to an extended care facility and 35% developed a pulmonary complication. We conclude that rib fractures are a marker of severe injury in which (1) 12% will die because of their injuries, (2) more than 90% will have associated injuries, (3) one half will require operative and ICU care, (4) one third will develop pulmonary complications, and (5) one third will require discharge to an extended care facility.
创伤继发肋骨骨折的发生率尚未得到明确报道。在1987年1月至1992年6月期间，我们创伤科诊治的7147例患者中，711例（10%）发生了肋骨骨折。在肋骨骨折患者中，84例（12%）死亡，670例（94%）伴有其他损伤，274例（32%）发生血胸或气胸，187例（26%）发生肺挫伤。55%的患者需要立即手术或入住重症监护病房。35%的患者需要转至长期护理机构，35%的患者出现肺部并发症。我们得出结论，肋骨骨折是严重损伤的一个标志，其中（1）12%的患者会因伤死亡，（2）超过90%的患者伴有其他损伤，（3）一半的患者需要手术及重症监护，（4）三分之一的患者会出现肺部并发症，（5）三分之一的患者需要转至长期护理机构。
