Progresses in clinical treatment of multiple rib fractures and flail chest
- VernacularTitle:多发肋骨骨折及连枷胸的临床治疗研究进展
- Author:
Xu SHEN
1
;
Yunke ZHU
2
;
Hanlu ZHANG
2
;
Zeguo ZHUO
1
;
Gang LI
3
;
Tieniu SONG
1
;
Zhijie XU
1
;
Guha ALAI
1
;
Peng YAO
1
;
Xia ZHONG
1
;
Yucheng WANG
1
;
Yidan LIN
2
Author Information
- Publication Type:Journal Article
- Keywords: Multiple rib fractures; flail chest; surgical indication; surgical time; surgical method
- From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2021;28(07):858-862
- CountryChina
- Language:Chinese
- Abstract: The incidence of rib fracture in patients with chest trauma is about 70%. Simple rib fractures do not need special treatment. Multiple rib fractures and flail chest are critical cases of blunt trauma, which often cause serious clinical consequences and need to be treated cautiously. Nowadays, there is a controversy about the diagnosis and treatment of multiple rib fractures and flail chest. In the past, most of the patients were treated by non-operative treatment, and only less than 1% of the patients with flail chest underwent surgery. In recent years, studies have confirmed that surgical reduction and internal fixation can shorten the hospital stay, and reduce pain and cost for patients with flail chest, but there is still a lack of relevant clinical consensus and guidelines for diagnosis and treatment, which leads to great differences in clinical diagnosis and treatment plans. This article reviewed the treatment, surgical indications and surgical timing of multiple rib fractures and flail chest.
