Abstract：
BACKGROUND:The purpose of this study was to identify patients with rib injuries who were at risk for solid organ injury. METHODS:A retrospective chart review was performed of all blunt trauma patients with rib fractures during the period from July 2007 to July 2012. Data were analyzed for association of rib fractures and solid organ injury. RESULTS:In all, 1,103 rib fracture patients were identified; 142 patients had liver injuries with 109 (77%) associated right rib fractures. Right-sided rib fractures with highest sensitivity for liver injury were middle rib segment (5 to 8) and lower segment (9 to 12) with liver injury sensitivities of 68% and 43%, respectively (P < .001); 151 patients had spleen injuries with 119 (79%) associated left rib fractures. Left middle segment rib fractures and lower segment rib fractures had sensitivities of 80% and 63% for splenic injury, respectively (P < .003). CONCLUSIONS:Rib fractures higher in the thoracic cage have significant association with solid organ injury. Using rib fractures from middle plus lower segments as indication for abdominal screening will significantly improve rib fracture sensitivity for identification of solid organ injury.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Rostas JW,Lively TB,Brevard SB,Simmons JD,Frotan MA,Gonzalez RPdoi
10.1016/j.amjsurg.2016.08.002subject
Has Abstractpub_date
2017-04-01 00:00:00pages
791-797issue
4eissn
0002-9610issn
1879-1883pii
S0002-9610(16)30468-8journal_volume
213pub_type
杂志文章abstract：:Hemasite is a new device incorporated in a graft that is used for hemodialysis. A technique of thrombectomizing this device incorporated graft is described. ...
journal_title：American journal of surgery
pub_type： 杂志文章
doi：10.1016/0002-9610(84)90145-4
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abstract：BACKGROUND:The use of biologic markers to aid in individualizing wound treatment may help improve outcomes. A biologic marker that has been demonstrated to be predictive of healing in both chronic and acute wounds is wound tissue bacterial level. The objective of this study was to determine whether tissue bacterial lev...
journal_title：American journal of surgery
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doi：10.1016/j.amjsurg.2004.01.018
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journal_title：American journal of surgery
pub_type： 杂志文章,多中心研究
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journal_title：American journal of surgery
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journal_title：American journal of surgery
pub_type： 临床试验,杂志文章
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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更新日期：1982-04-01 00:00:00
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更新日期：1991-08-01 00:00:00
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journal_title：American journal of surgery
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更新日期：1988-04-01 00:00:00
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journal_title：American journal of surgery
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更新日期：1997-03-01 00:00:00
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journal_title：American journal of surgery
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