A study on the optimal surgical timing for rib internal fixation
10.3760/cma.j.issn.1673-4904.2014.23.006
- VernacularTitle:肋骨内固定最佳手术时机的探讨
- Author:
Yun HUANG
;
Xia ZHAO
- Publication Type:Journal Article
- Keywords:
Rib fractures;
Internal fixation;
Surgery timing;
Early phase surgery;
Prognosis
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(23):15-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the optimal surgical timing for rib internal fixation.Methods The clinical data of 143 patients with rib fracture were retrospectively analyzed.The patients were divided into early phase fixation group (62 cases) and late phase fixation group (81 cases) according to the time from trauma to internal fixation.The ratio blood lose and body surface area,pulmonary complications and the changes of C reactive protein level before and 5 days after operation were recorded and compared.Results All the patients were healing.The median C reactive protein before operation in late phase fixation group was 45 mg/L,in early phase fixation group was 23 mg/L,there was statistical difference (P ＜ 0.01).The ratio blood lose and body surface area in early phase fixation group was (334.19 ± 37.53) ml/m2,the rate of pulmonary complications was 22.6％(14/61),in late phase fixation group was (438.99 ± 55.24) ml/m2 and 38.3％ (31/81),there were statistical differences (P ＜ 0.01 or ＜ 0.05).The median C reactive protein 5 days after operation in early phase fixation group was 189 mg/L,in late phase fixation group was 258 mg/L,there was statistical difference (P ＜ 0.05).Conclusion Early phase (72 hours) rib internal fixation is expected to reduce patient trauma of systemic reactions,reduce the incidence of bleeding and pulmonary complications.
