Citation： 乔贵宾, 陈刚. 创伤性肋骨骨折的处理：广东胸外科行业共识（2017 年版）. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(5): 362-367. doi: 10.7507/1007-4848.201710008 Copy
| 1. | 徐志飞, 孙居仙. 肋骨骨折的诊疗进展. 中华创伤杂志, 2010, 26(6): 481-484. |
| 2. | Davis S, Affatato A. Blunt chest trauma: utility of radiological evaluation and effect on treatment patterns. Am J Emerg Med, 2006, 24(4): 482-486. |
| 3. | Tanaka H, Yukioka T, Yamaguti Y, et al. Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma, 2002, 52(4): 727-732. |
| 4. | Granetzny A, Abd El-Aal M, Emam E, et al. Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status. Interact Cardiovasc Thorac Surg, 2005, 4(6): 583-587. |
| 5. | Marasco SF, Davies AR, Cooper J, et al. Prospective randomized controlled trial of operative rib fixation in traumatic flail chest. J Am Coll Surg, 2013, 216(5): 924-932. |
| 6. | Dehghan N, de Mestral C, McKee MD, et al. Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank. J Trauma Acute Care Surg, 2014, 76(2): 462-468. |
| 7. | Brasel KJ, Moore EE, Albrecht RA, et al. Western Trauma Association Critical Decisions in Trauma: Management of rib fractures. J Trauma Acute Care Surg, 2017, 82(1): 200-203. |
| 8. | Reid JM, Baird WL. Crushed chest injury: some physiological disturbances and their correction . Br Med J, 1965, 1(5442): 1105-1109. |
| 9. | Cohn SM, Dubose JJ. Pulmonary contusion: an update on recent advances in clinical management. World J Surg, 2010, 34(8): 1959-1970. |
| 10. | Dittmann M, Keller R, Wolff G. A rationale for epidural analgesia in the treatment of multiple rib fractures. Intensive Care Med, 1978, 4(4): 193-197. |
| 11. | Simon BJ, Cushman J, Barraco R, et al. Pain management guidelines for blunt thoracic trauma. J Trauma, 2005, 59(5): 1256-1267. |
| 12. | Trinkle JK, Furman RW, Hinshaw MA, et al. Pulmonary contusion. Pathogenesis and effect of various resuscitative measures. Ann Thorac Surg, 1973, 16(6): 568-573. |
| 13. | Mahlke L, Oestern S, Drost J, et al. Prophylactic ventilation of severely injured patients with thoracic trauma——does it always make sense?. Unfallchirurg, 2009, 112(11): 938-941. |
| 14. | Schweiger JW, Downs JB, Smith RA. Chest wall disruption with and without acute lung injury: effects of continuous positive airway pressure therapy on ventilation and perfusion relationships. Crit Care Med, 2003, 31(9): 2364-2370. |
| 15. | Tanaka H, Tajimi K, Endoh Y, et al. Pneumatic stabilization for flail chest injury: an 11-year study. Surg Today, 2001, 31(1): 12-17. |
| 16. | McGee EM, Trinkle JK. Pulmonary contusion——pathogenesis and current management. Rev Surg, 1972, 29(3): 224. |
| 17. | Funk DJ, Lujan E, Moretti EW, et al. A brief report: the use of high-frequency oscillatory ventilation for severe pulmonary contusion. J Trauma, 2008, 65(2): 390-395. |
| 18. | Cinnella G, Dambrosio M, Brienza N, et al. Independent lung ventilation in patients with unilateral pulmonary contusion. Monitoring with compliance and EtCO(2). Intensive Care Med, 2001, 27(12): 1860-1867. |
| 19. | Todd SR, McNally MM, Holcomb JB, et al. A multidisciplinary clinical pathway decreases rib fracture-associated infectious morbidity and mortality in high-risk trauma patients. Am J Surg, 2006, 192(6): 806-811. |
| 20. | Shackford SR, Virgilio RW, Peters RM. Selective use of ventilator therapy in flailchest injury. J Thorac Cardiovasc Surg, 1981, 81(2):194-201. |
| 21. | Pieracci FM, Lin Y, Rodil M, et al. A prospective, controlled clinical evaluation of surgical stabilization of severe rib fractures. J Trauma Acute Care Surg, 2016, 80(2): 187-194. |
| 22. | Schulte K, Whitaker D, Attia R. In patients with acute flail chest does surgical rib fixation improve outcomes in terms of morbidity and mortality? Interact Cardiovasc Thorac Surg, 2016, 23(2): 314-319. |
| 23. | Fagevik Olsén M, Slobo M, Klarin L, et al. Physical function and pain after surgical or conservative management of multiple rib fractures——a follow-up study. Scand J Trauma Resusc Emerg Med, 2016, 24(1): 128. |
| 24. | Leinicke JA, Elmore L, Freeman BD, et al. Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis. Ann Surg, 2013, 258(6): 914-921. |
| 25. | Simon B, Ebert J, Bokhari F, et al. Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg, 2012, 73(5 Suppl 4): S351-S361. |
| 26. | Jones KM, Reed RL 2nd, Luchette FA. The ribs or not the ribs: which influences mortality? Am J Surg, 2011, 202(5): 598-604. |
| 27. | Sharma OP, Oswanski MF, Jolly S, et al. Perils of rib fractures. Am Surg, 2008, 74(4): 310-314. |
| 28. | Flagel BT, Luchette FA, Reed RL, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery, 2005, 138(4): 717-723. |
| 29. | Ahmad MA, Delli Sante E, Giannoudis PV. Assessment of severity of chest trauma: is there an ideal scoring system? Injury, 2010, 41(10): 981-983. |
| 30. | Battle CE, Hutchings H, Evans PA. Risk factors that predict mortality in patients with blunt chest wall trauma: a systematic review and meta-analysis. Injury, 2012, 43(1): 8-17. |
| 31. | Sahr SM, Webb ML, Renner CH, et al. Implementation of a rib fracture triage protocol in elderly trauma patients. J Trauma Nurs, 2013, 20(4): 172-175. |
| 32. | 吴茂铸, 罗旺启, 郭勇, 等. 16 层螺旋 CT 多模式重组在肋骨骨折诊断中的应用. 实用放射学杂志, 2007, 23(12): 1675-1676, 1679. |
| 33. | Aukema TS, Beenen LF, Hietbrink F, et al. Initial assessment of chest X-ray in thoracic trauma patients: Awareness of specific injuries. World J Radiol, 2012, 4(2): 48-52. |
| 34. | Griffith JF, Rainer TH, Ching AS, et al. Sonography compared with radiography in revealing acute rib fracture. AJR Am J Roentgenol, 1999, 173(6): 1603-1609. |
| 35. | Bemelman M, van Baal M, Yuan JZ, et al. The role of minimally invasive plate osteosynthesis in rib fixation: a review. Korean J Thorac Cardiovasc Surg, 2016, 49(1): 1-8. |
| 36. | Costantino M, Gosselin MV, Primack SL. The ABC's of thoracic trauma imaging. Semin Roentgenol, 2006, 41(3): 209-225. |
| 37. | Sarani B, Schulte L, Diaz JJ. Pitfalls associated with open reduction and internal fixation of fractured ribs. Injury, 2015, 46(12): 2335-2340. |
| 38. | 徐恩五, 乔贵宾, 彭秀凡, 等. 记忆合金环抱器固定肋骨骨折的适应证及手术技巧. 中华创伤杂志, 2012, 28(6): 533-536. |
| 39. | Tarng YW, Liu YY, Huang FD, et al. The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure. Surg Endosc, 2016, 30(1): 388-395. |
| 40. | Marasco S, Saxena P. Surgical rib fixation-technical aspects. Injury, 2015, 46(5): 929-932. |
| 41. | Kuchyn IuL. Anesthesiological support of surgical intervention on clavicular osteosynthesis in patients with multiple rib fractures. Klin Khir, 2013, (12): 58-60. |
| 42. | Bellezzo F, Hunt RJ, Provost R, et al. Surgical repair of rib fractures in 14 neonatal foals: case selection, surgical technique and results. Equine Vet J, 2004, 36(7): 557-562. |
| 43. | Park HS, Ryu SM, Cho SJ, et al. A treatment case of delayed aortic injury: the patient with posterior rib fracture. Korean J Thorac Cardiovasc Surg, 2014, 47(4): 406-408. |
| 44. | Lee WS, Kim YH, Chee HK, et al. Ultrasonographic evaluation of costal cartilage fractures unnoticed by the conventional radiographic study and multidetector computed tomography. Eur J Trauma Emerg Surg, 2012, 38(1): 37-42. |
| 45. | Kilic D, Findikcioglu A, Akin S, et al. Factors affecting morbidity and mortality in flail chest: comparison of anterior and lateral location. Thorac Cardiovasc Surg, 2011, 59(1): 45-48. |
| 46. | Rice D, Bikkasani N, Espada R, et al. Seat belt-related chondrosternal disruption with lung herniation. Ann Thorac Surg, 2002, 73(6): 1950-1951. |
| 47. | Bonne SL, Turnbull IR, Southard RE. Technique for repair of fractures and separations involving the cartilaginous portions of the anterior chest wall. Chest, 2015, 147(6): e199-e204. |
| 48. | Cacchione RN, Richardson JD, Seligson D. Painful nonunion of multiple rib fractures managed by operative stabilization. J Trauma, 2000, 48(2): 319-321. |
| 49. | Kerr-Valentic MA, Arthur M, Mullins RJ, et al. Rib fracture pain and disability: can we do better? J Trauma, 2003, 54(6): 1058-1063. |
| 50. | Kellam JF, 王簕, 杨云峰. 骨折愈合后拆除内固定是否有益? 中华创伤骨科杂志, 2010, 12(4): 374-378. |
| 51. | Diamanti MV, Del Curto B, Pedeferri M. Anodic oxidation of titanium: from technical aspects to biomedical applications. J Appl Biomater Biomech, 2011, 9(1): 55-69. |
| 52. | Minagar S, Wang J, Berndt CC, et al. Cell response of anodized nanotubes on titanium and titanium alloys. J Biomed Mater Res A, 2013, 101(9): 2726-2739. |
- 1. 徐志飞, 孙居仙. 肋骨骨折的诊疗进展. 中华创伤杂志, 2010, 26(6): 481-484.
- 2. Davis S, Affatato A. Blunt chest trauma: utility of radiological evaluation and effect on treatment patterns. Am J Emerg Med, 2006, 24(4): 482-486.
- 3. Tanaka H, Yukioka T, Yamaguti Y, et al. Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma, 2002, 52(4): 727-732.
- 4. Granetzny A, Abd El-Aal M, Emam E, et al. Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status. Interact Cardiovasc Thorac Surg, 2005, 4(6): 583-587.
- 5. Marasco SF, Davies AR, Cooper J, et al. Prospective randomized controlled trial of operative rib fixation in traumatic flail chest. J Am Coll Surg, 2013, 216(5): 924-932.
- 6. Dehghan N, de Mestral C, McKee MD, et al. Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank. J Trauma Acute Care Surg, 2014, 76(2): 462-468.
- 7. Brasel KJ, Moore EE, Albrecht RA, et al. Western Trauma Association Critical Decisions in Trauma: Management of rib fractures. J Trauma Acute Care Surg, 2017, 82(1): 200-203.
- 8. Reid JM, Baird WL. Crushed chest injury: some physiological disturbances and their correction . Br Med J, 1965, 1(5442): 1105-1109.
- 9. Cohn SM, Dubose JJ. Pulmonary contusion: an update on recent advances in clinical management. World J Surg, 2010, 34(8): 1959-1970.
- 10. Dittmann M, Keller R, Wolff G. A rationale for epidural analgesia in the treatment of multiple rib fractures. Intensive Care Med, 1978, 4(4): 193-197.
- 11. Simon BJ, Cushman J, Barraco R, et al. Pain management guidelines for blunt thoracic trauma. J Trauma, 2005, 59(5): 1256-1267.
- 12. Trinkle JK, Furman RW, Hinshaw MA, et al. Pulmonary contusion. Pathogenesis and effect of various resuscitative measures. Ann Thorac Surg, 1973, 16(6): 568-573.
- 13. Mahlke L, Oestern S, Drost J, et al. Prophylactic ventilation of severely injured patients with thoracic trauma——does it always make sense?. Unfallchirurg, 2009, 112(11): 938-941.
- 14. Schweiger JW, Downs JB, Smith RA. Chest wall disruption with and without acute lung injury: effects of continuous positive airway pressure therapy on ventilation and perfusion relationships. Crit Care Med, 2003, 31(9): 2364-2370.
- 15. Tanaka H, Tajimi K, Endoh Y, et al. Pneumatic stabilization for flail chest injury: an 11-year study. Surg Today, 2001, 31(1): 12-17.
- 16. McGee EM, Trinkle JK. Pulmonary contusion——pathogenesis and current management. Rev Surg, 1972, 29(3): 224.
- 17. Funk DJ, Lujan E, Moretti EW, et al. A brief report: the use of high-frequency oscillatory ventilation for severe pulmonary contusion. J Trauma, 2008, 65(2): 390-395.
- 18. Cinnella G, Dambrosio M, Brienza N, et al. Independent lung ventilation in patients with unilateral pulmonary contusion. Monitoring with compliance and EtCO(2). Intensive Care Med, 2001, 27(12): 1860-1867.
- 19. Todd SR, McNally MM, Holcomb JB, et al. A multidisciplinary clinical pathway decreases rib fracture-associated infectious morbidity and mortality in high-risk trauma patients. Am J Surg, 2006, 192(6): 806-811.
- 20. Shackford SR, Virgilio RW, Peters RM. Selective use of ventilator therapy in flailchest injury. J Thorac Cardiovasc Surg, 1981, 81(2):194-201.
- 21. Pieracci FM, Lin Y, Rodil M, et al. A prospective, controlled clinical evaluation of surgical stabilization of severe rib fractures. J Trauma Acute Care Surg, 2016, 80(2): 187-194.
- 22. Schulte K, Whitaker D, Attia R. In patients with acute flail chest does surgical rib fixation improve outcomes in terms of morbidity and mortality? Interact Cardiovasc Thorac Surg, 2016, 23(2): 314-319.
- 23. Fagevik Olsén M, Slobo M, Klarin L, et al. Physical function and pain after surgical or conservative management of multiple rib fractures——a follow-up study. Scand J Trauma Resusc Emerg Med, 2016, 24(1): 128.
- 24. Leinicke JA, Elmore L, Freeman BD, et al. Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis. Ann Surg, 2013, 258(6): 914-921.
- 25. Simon B, Ebert J, Bokhari F, et al. Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg, 2012, 73(5 Suppl 4): S351-S361.
- 26. Jones KM, Reed RL 2nd, Luchette FA. The ribs or not the ribs: which influences mortality? Am J Surg, 2011, 202(5): 598-604.
- 27. Sharma OP, Oswanski MF, Jolly S, et al. Perils of rib fractures. Am Surg, 2008, 74(4): 310-314.
- 28. Flagel BT, Luchette FA, Reed RL, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery, 2005, 138(4): 717-723.
- 29. Ahmad MA, Delli Sante E, Giannoudis PV. Assessment of severity of chest trauma: is there an ideal scoring system? Injury, 2010, 41(10): 981-983.
- 30. Battle CE, Hutchings H, Evans PA. Risk factors that predict mortality in patients with blunt chest wall trauma: a systematic review and meta-analysis. Injury, 2012, 43(1): 8-17.
- 31. Sahr SM, Webb ML, Renner CH, et al. Implementation of a rib fracture triage protocol in elderly trauma patients. J Trauma Nurs, 2013, 20(4): 172-175.
- 32. 吴茂铸, 罗旺启, 郭勇, 等. 16 层螺旋 CT 多模式重组在肋骨骨折诊断中的应用. 实用放射学杂志, 2007, 23(12): 1675-1676, 1679.
- 33. Aukema TS, Beenen LF, Hietbrink F, et al. Initial assessment of chest X-ray in thoracic trauma patients: Awareness of specific injuries. World J Radiol, 2012, 4(2): 48-52.
- 34. Griffith JF, Rainer TH, Ching AS, et al. Sonography compared with radiography in revealing acute rib fracture. AJR Am J Roentgenol, 1999, 173(6): 1603-1609.
- 35. Bemelman M, van Baal M, Yuan JZ, et al. The role of minimally invasive plate osteosynthesis in rib fixation: a review. Korean J Thorac Cardiovasc Surg, 2016, 49(1): 1-8.
- 36. Costantino M, Gosselin MV, Primack SL. The ABC's of thoracic trauma imaging. Semin Roentgenol, 2006, 41(3): 209-225.
- 37. Sarani B, Schulte L, Diaz JJ. Pitfalls associated with open reduction and internal fixation of fractured ribs. Injury, 2015, 46(12): 2335-2340.
- 38. 徐恩五, 乔贵宾, 彭秀凡, 等. 记忆合金环抱器固定肋骨骨折的适应证及手术技巧. 中华创伤杂志, 2012, 28(6): 533-536.
- 39. Tarng YW, Liu YY, Huang FD, et al. The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure. Surg Endosc, 2016, 30(1): 388-395.
- 40. Marasco S, Saxena P. Surgical rib fixation-technical aspects. Injury, 2015, 46(5): 929-932.
- 41. Kuchyn IuL. Anesthesiological support of surgical intervention on clavicular osteosynthesis in patients with multiple rib fractures. Klin Khir, 2013, (12): 58-60.
- 42. Bellezzo F, Hunt RJ, Provost R, et al. Surgical repair of rib fractures in 14 neonatal foals: case selection, surgical technique and results. Equine Vet J, 2004, 36(7): 557-562.
- 43. Park HS, Ryu SM, Cho SJ, et al. A treatment case of delayed aortic injury: the patient with posterior rib fracture. Korean J Thorac Cardiovasc Surg, 2014, 47(4): 406-408.
- 44. Lee WS, Kim YH, Chee HK, et al. Ultrasonographic evaluation of costal cartilage fractures unnoticed by the conventional radiographic study and multidetector computed tomography. Eur J Trauma Emerg Surg, 2012, 38(1): 37-42.
- 45. Kilic D, Findikcioglu A, Akin S, et al. Factors affecting morbidity and mortality in flail chest: comparison of anterior and lateral location. Thorac Cardiovasc Surg, 2011, 59(1): 45-48.
- 46. Rice D, Bikkasani N, Espada R, et al. Seat belt-related chondrosternal disruption with lung herniation. Ann Thorac Surg, 2002, 73(6): 1950-1951.
- 47. Bonne SL, Turnbull IR, Southard RE. Technique for repair of fractures and separations involving the cartilaginous portions of the anterior chest wall. Chest, 2015, 147(6): e199-e204.
- 48. Cacchione RN, Richardson JD, Seligson D. Painful nonunion of multiple rib fractures managed by operative stabilization. J Trauma, 2000, 48(2): 319-321.
- 49. Kerr-Valentic MA, Arthur M, Mullins RJ, et al. Rib fracture pain and disability: can we do better? J Trauma, 2003, 54(6): 1058-1063.
- 50. Kellam JF, 王簕, 杨云峰. 骨折愈合后拆除内固定是否有益? 中华创伤骨科杂志, 2010, 12(4): 374-378.
- 51. Diamanti MV, Del Curto B, Pedeferri M. Anodic oxidation of titanium: from technical aspects to biomedical applications. J Appl Biomater Biomech, 2011, 9(1): 55-69.
- 52. Minagar S, Wang J, Berndt CC, et al. Cell response of anodized nanotubes on titanium and titanium alloys. J Biomed Mater Res A, 2013, 101(9): 2726-2739.