CAJ | 학술논문

目的：：探讨静脉持续镇痛联合肋骨内固定在多根多处肋骨骨折治疗中的临床应用价值。方法：对多根多处肋骨骨折54例患者围手术期采用静脉持续镇痛4~10 d,联合肋骨爪型接骨板行肋骨内固定术。其中急诊手术4例,伤后2~5 d手术50例。结果：术后复查X线胸片示肋骨骨折内固定处对位良好,肺复张良好,无药物成瘾病例。切口Ⅰ期愈合51例,Ⅱ期愈合3例,均痊愈出院。52例随访4~41个月,复查X线胸片示肋骨骨折内固定处对位良好,骨折线消失,无明显胸廓畸形。均恢复正常工作和生活。结论：采用静脉持续镇痛联合肋骨爪型接骨板行肋骨内固定术治疗多根多处肋骨骨折安全有效,疼痛感明显降低,依从性好,明显减少对呼吸系统和循环系统的影响,患者满意度高。
목적：：탐토정맥지속진통연합륵골내고정재다근다처륵골골절치료중적림상응용개치。방법：대다근다처륵골골절54례환자위수술기채용정맥지속진통4~10 d,연합륵골조형접골판행륵골내고정술。기중급진수술4례,상후2~5 d수술50례。결과：술후복사X선흉편시륵골골절내고정처대위량호,폐복장량호,무약물성은병례。절구Ⅰ기유합51례,Ⅱ기유합3례,균전유출원。52례수방4~41개월,복사X선흉편시륵골골절내고정처대위량호,골절선소실,무명현흉곽기형。균회복정상공작화생활。결론：채용정맥지속진통연합륵골조형접골판행륵골내고정술치료다근다처륵골골절안전유효,동통감명현강저,의종성호,명현감소대호흡계통화순배계통적영향,환자만의도고。
Objective:To explore the clinical application value of the intravenous continuous analgesia combined with internal fixation of ribs in the treatment of multiple fractures of multiple ribs. Methods:Fifty-four multiple fractures of multiple ribs patients were treated with the intravenous continuous analgesia for 4 to 10 days combined with internal fixation using rib claw plate during the perioperative period. Four cases were urgently operated,50 cases were operated after 2 to 5 d of injury. Results:The postoperative X-ray of chest showed that the contraposition of internal fixation of rib fractures, and lung recruitment were good, and no drug addiction case was found. StageⅠhealing in 51 cases and stage Ⅱ healing in 3 cases,and all cases cured. Fifty-two cases were followed up for 4 to 41 months. All X-ray of chest showed the rib fracture line disappeared,and no obvious chest deformity. All patients returned to normal life and work. Conclusions:The treatment of multiple fractures of multiple ribs with internal fixation using rib claw plate combined with continuous intravenous analgesia is safe and effective,low pain and good compliance,and which can obviously decrease the effects on respiratory system and circulatory system,and increase the satisfaction of patients.