늑골 골절의 위치가 동요흉의 이환율 및 사망률에 미치는 요인

Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the eff...

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Veröffentlicht in:Daehan oe'sang haghoeji 2013-09, Vol.26 (3), p.170-174
Hauptverfasser: 변천성, Chun Sung Byun, 박일환, Il Hwan Park, 배금석, Geum Suk Bae, 정필영, Pil Yeong Jeong, 오중환, Joong Hwan Oh
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Zusammenfassung:Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the effect of trauma localization on morbidity and mortality. Methods: Between 2004 and 2011, 46 patients(29 males/17 females) were treated for a flail chest. The patients were divided into two group based on the location of the trauma in the chest wall; Group I contained patients with an anterior flail chest due to a bilateral costochondral separation (n=27) and Group II contained patients with a single-side posterolateral flail chest due to a segmental rib fracture (n=19). The location of the trauma in the chest wall, other injuries, mechanical ventilation support, prognosis and ISS (injury severity score) were retrospectively examined in the two groups. Results: Mechanical ventilation support was given in 38 patients(82.6%), and 7 of these 38 patients required a subsequent tracheostomy. The mean ISS for all 46 patients was 19.08±10.57. Between the two groups, there was a significant difference in mean ventilator time (p
ISSN:1738-8767
2799-4317
2287-1683