Radenovski D, Zlatarski G, Mikhaĭlov E
Khirurgiia (Sofiia). 1997;50(5):9-13.
A contingent of patients presenting closed chest injuries, sustained over a 12-year period (1985-1996), are analyzed. Of the total of 6938 traumas, chest injuries amount to 3286 (47.06 per cent) of which 2842 (40.7 per cent)-closed. Of the latter 2248 (79.09 per cent) are located in the left thoracic half, 420 (14.77 per cent)-in the right thoracic half, and in 174 (6.12 per cent) it is a matter of bilateral involvement. At the point of heaviest impact, involving 5th to 9th rib segment, left side injury is recorded in 2034 cases (71.56 per cent), right side--408 (14.35 per cent), and bilateral--in 155 (5.45 per cent). There are 28 fractures of the sternum (0.85 per cent). Of the latter 14 are located in the manubrium sterni region, twelve--in the middle portion, and two in the distal part of the sternum. Over the last 5 years (1991 through 1995), of 63 casualties with flail chest 16 are with indications for stabilization osteosynthesis, and accordingly subjected to operation. A Schimelmann plate is used in 13 cases, artificial rib type "Ampar"--in three, and sternal stabilization--in one.
对1985年至1996年这12年间出现闭合性胸部损伤的一批患者进行了分析。在总计6938例创伤中，胸部损伤有3286例（占47.06%），其中2842例（占40.7%）为闭合性损伤。在后者中，2248例（占79.09%）位于左半胸，420例（占14.77%）位于右半胸，174例（占6.12%）为双侧损伤。在撞击最严重的部位，累及第5至9肋骨段，左侧损伤记录有2034例（占71.56%），右侧408例（占14.35%），双侧155例（占5.45%）。有28例胸骨骨折（占0.85%）。其中14例位于胸骨柄区域，12例位于中部，2例位于胸骨远端。在过去5年（1991年至1995年），63例连枷胸伤员中，16例有进行稳定化骨固定术的指征，因此接受了手术。13例使用了施密尔曼钢板，3例使用了“安帕尔”型人工肋骨，1例进行了胸骨稳定术。
