Roy-Shapira A, Levi I, Khoda J
Dept. of Surgery A, Soroka Medical Center, Beer-Sheva, Israel.
J Trauma. 1994 Jul;37(1):59-61.
We reviewed the records of 28 patients with sternal fractures. Seat belts were used by 79% of the patients. Pain and tenderness were the most common complaints. Forty-six percent of patients had associated injuries, which were all evident in the emergency room. Seven patients had rib fractures, six had myocardial contusion, and five had pulmonary contusions. The associated injuries determined the outcome: 2 patients died, 2 required rehabilitation, the rest recovered uneventfully. Mean length of stay (LOS) was 8.17 +/- 1.78 days, but the median LOS was 4 days, and 75% stayed a week or less. The sternal fracture was treated with rest and analgesics. We conclude that sternal fractures are benign and do not require special treatment or an expensive work-up. It is possible that the seat belt and the sternal fracture absorb a substantial part of the energy transfer, and prevent greater damage.
我们回顾了28例胸骨骨折患者的病历。79%的患者使用了安全带。疼痛和压痛是最常见的主诉。46%的患者伴有其他损伤，这些损伤在急诊室均很明显。7例患者有肋骨骨折，6例有心肌挫伤，5例有肺挫伤。这些伴发损伤决定了预后：2例患者死亡，2例需要康复治疗，其余患者均顺利康复。平均住院时间（LOS）为8.17±1.78天，但中位住院时间为4天，75%的患者住院一周或更短时间。胸骨骨折采用休息和止痛治疗。我们得出结论，胸骨骨折是良性的，不需要特殊治疗或昂贵的检查。安全带和胸骨骨折可能吸收了大部分能量传递，从而防止了更严重的损伤。
