Der klinische Stellenwert von Rippenfrakturen beim Einfach- und Mehrfachverletzten. [Clinical impact of rib fractures in single and multiple trauma]

Détails

ID Serval
serval:BIB_409BC433B756
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Der klinische Stellenwert von Rippenfrakturen beim Einfach- und Mehrfachverletzten. [Clinical impact of rib fractures in single and multiple trauma]
Périodique
Unfallchirurg
Auteur(s)
Ludi  D., Inderbitzi  R., Stirnemann  P., Ris  H. B.
ISSN
0177-5537 (Print)
Statut éditorial
Publié
Date de publication
02/1992
Volume
95
Numéro
2
Pages
87-90
Notes
English Abstract
Journal Article --- Old url value: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=1570536 --- Old month value: Feb
Résumé
In a retrospective study we evaluated the data regarding 126 patients (96 male/30 female) hospitalized with rib fractures between 1986 and 1989. Fifty percent of the subjects had been in a traffic accident. Eighty-five percent of the patients had 2-7 broken ribs. Sixty-two patients suffered from multiple injuries, 40% were men aged less than 40 years. Fifty-six patients were treated by pleural drainage either for hemato- and/or pneumothorax or to prevent intrapleural tension during surgical intervention under endotracheal anesthesia. Thirty-two patients underwent mechanical ventilation for between 1 and 52 days (mean 10 days). In five cases a flail chest was stabilized by ribosteosynthesis to avoid prolonged artificial ventilation. Pain relief by continuous peridural Carbostesin (bupivacaine) administration was given to 31 patients. There was a positive correlation between the incidence of pneumo- and hematothorax and the number of broken ribs. A significant association was found between multiple-injured patients died in hospital; six of them had multiple injuries. The recovery of 44 patients was interrupted by complications, predominantly of pulmonary origin (68%). The pattern and severity of concomitant injuries and interference of complications influenced the length of the hospital stay; pulmonary complications doubled it.
Mots-clé
Adolescent Adult Aged Aged, 80 and over Female Follow-Up Studies Humans Length of Stay Male Middle Aged Multiple Trauma/mortality/*surgery Postoperative Complications/*mortality Rib Fractures/mortality/*surgery Survival Rate Thoracic Injuries/mortality/*surgery
Pubmed
Web of science
Création de la notice
29/01/2008 14:00
Dernière modification de la notice
03/03/2018 16:29
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