胸骨骨折的外科治疗

Surgery Treatment of Sternal Fracture

目的总结分析胸骨骨折的外科处理方法。方法31例胸骨骨折患者中,17例经非手术保守治疗,14例手术行胸骨固定,同时治疗合并症。结果2例死于严重的脑外伤和呼吸衰竭,29例治愈。其中1例钢丝断裂和1例胸骨被切割开,需再次手术,3例并发肺部并发症,经相应处理后治愈。结论胸骨骨折是危及患者生命的严重外伤,及时诊断、评价伤情和正确的处理是减轻患者并发症,降低死亡的关键。

Objective To summarize experiences of surgical treatment of sternal fracture. Methods 31 cases with sternal fracture were randomly divided into two group：group A（ n = 17 ） received conservative treatment and group B （n = 14 ） were treated by sternal fracture fixated based on the management of associated injury. Results 2 cases died because of severe brain injury and respiratory failure, other 29 cases were healed, in which 1 case with breakage of the wires, 1 case with sternum incision and sec- ondary operation, Conclusions The sternal fracture is very serve life - threatening injure, Timely diagnosing, correct evaluating the injury condition, and proper treatment can reduce the complications and decrease death rate