PDF(Sci-hub)
Abstract：
Rib fractures are common injuries associated with significant morbidity and mortality, largely due to pulmonary complications. Despite equivocal effectiveness data, incentive spirometers are widely utilized to reduce pulmonary complications in the postoperative setting. Few studies have evaluated the effectiveness of incentive spirometry after rib fracture. Multiple investigations have demonstrated incentive spirometry to be an important screening tool to identify high-risk rib fracture patients who could benefit from aggressive, multidisciplinary pulmonary complication prevention strategies. This review evaluates the epidemiology of rib fractures, their associated pulmonary complications, along with the evidence for optimizing their clinical management through the use of incentive spirometry, multimodal analgesia, and surgical fixation.
摘要：
肋骨骨折是常见的损伤，具有显著的发病率和死亡率，主要是因为肺部并发症.尽管有效性数据模棱两可，激励肺活量计被广泛用于减少术后肺部并发症。很少有研究评估肋骨骨折后激励肺活量测定的有效性。多项研究表明，激励肺活量测定法是识别高风险肋骨骨折患者的重要筛查工具，这些患者可以从积极的治疗中获益。多学科肺部并发症预防策略。这篇综述评估了肋骨骨折的流行病学，他们相关的肺部并发症，以及通过使用激励肺活量测定法优化临床管理的证据，多模式镇痛,和手术固定。
