Gouldman J W, Miller R S
Department of Trauma Surgery, Greenville Hospital System, South Carolina 29605, USA.
Am Surg. 1997 Jan;63(1):17-9.
A retrospective review of the Greenville Memorial Hospital trauma registry revealed 70 patients admitted with sternal fractures over a 38-month period. Localized sternal tenderness was present in 68 (97.1%), external signs of contusion/ecchymosis in 33 (47.1%), and dyspnea in 10 (14.3%) patients. The mechanism of injury was motor vehicle crash in 64 (91.4%) patients, with 46 of these restrained. Isolated sternal fractures were present in 34 (48.6%) patients. Only one death occurred. All sternal fractures were managed with analgesia and rest; surgery was required only when indicated for associated injuries. No patient was found to have an aortic injury or clinically significant cardiac dysrhythmia. Conclusions in this study that differ from those in previous studies can possibly be attributed to an evolving mechanism of sternal injury. This retrospective review shows no association between sternal fracture and clinically significant cardiac injury or injury to the thoracic aorta.
对格林维尔纪念医院创伤登记处的一项回顾性研究显示，在38个月的时间里，有70例患者因胸骨骨折入院。68例（97.1%）有局部胸骨压痛，33例（47.1%）有挫伤/瘀斑的外部体征，10例（14.3%）患者有呼吸困难。64例（91.4%）患者的受伤机制为机动车碰撞，其中46例系安全带。34例（48.6%）患者为孤立性胸骨骨折。仅发生1例死亡。所有胸骨骨折均采用镇痛和休息治疗；仅在有相关损伤指征时才需要手术。未发现患者有主动脉损伤或临床上显著的心律失常。本研究中与先前研究不同的结论可能归因于胸骨损伤机制的演变。这项回顾性研究表明，胸骨骨折与临床上显著的心脏损伤或胸主动脉损伤之间无关联。
