The role of chest backplate in treating multiple rib fractures in patients with focal abnormal breathing: analysis of 36 cases

中国医师进修杂志 Pub Date : 2015-01-05 DOI:10.3760/CMA.J.ISSN.1673-4904.2015.01.017

Liao Zhimin, Hu Weijiang, Hu Lei, Zheng Wei, Pang Yixiong

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Abstract

Objective To evaluate the effect of chest backplate in treating multiple rib fractures in patients with focal abnormal breathing. Methods The clinical data of 36 patients with multiple rib fractures and focal abnormal breathing who were treated by Chrisofix chest backplate were analyzed. Results Thirty-four patients were cured by chest backplate and other conservative treatments,and 2 patients underwent rib internal fixation surgery. The numeric rating scales scores before and after the application of the chest backplate were (8.1±0.7) scores and (5.2±0.5) scores respectively(P <0.01). Seven patients had skin blisters forming around the shield, which were cured by liquid extraction with a syringe and gauze covered with povidone iodine. No patients stopped treatment because of allergy. Conclusions Chest backplate is an effective, easy and inexpensive method for patient with multiple rib fractures and focal abnormal breathing who doesn't need exploratory thoracotomy. It is worthy to spread in clinical treatment. Key words: Rib fractures; Flail chest; Abnormal breathing; Chest backplate; Conservative treatment

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胸背板治疗局灶性呼吸异常多发肋骨骨折36例分析

目的探讨胸背板治疗局灶性呼吸异常多发肋骨骨折的疗效。方法对36例应用Chrisofix胸背板治疗多发肋骨骨折伴局灶性呼吸异常患者的临床资料进行分析。结果经胸背板等保守治疗34例治愈，2例行肋骨内固定手术。应用胸背板前后的数值评定量表得分分别为(8.1±0.7)分和(5.2±0.5)分(P <0.01)。7名患者的皮肤在护罩周围形成了水泡，这些水泡是用注射器和覆盖聚维酮碘的纱布进行液体提取而治愈的。没有患者因过敏而停止治疗。结论胸背板是治疗多发肋骨骨折伴局灶性呼吸异常不需开胸探查的有效、简便、经济的方法。在临床治疗中值得推广。关键词:肋骨骨折;连枷胸;不正常的呼吸;胸部背面板;保守治疗

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