Abstract：Objective To explore the influence of different operation timing on perioperative safety of patients with multiple rib fractures. Methods A total of 54 patients with multiple rib fractures from August 2015 to August 2019 in Huangshan City People′s Hospital, Anhui Province were selected as the study subjects. According to the time from injury to intraoperative fixation, the patients were divided into the early group (≤72 h, 26 cases) and the late group (> 72 h, 28 cases). The operation conditions (length of hospital stay, incision length, chest tube indwelling time and fracture healing time) of the two groups were compared and the laboratory indicators (C-reactive protein [CRP], procalcitonin [PCT]) before and after operation and the total incidence of complications were compared between the two groups. Results There were no significant differences in length of hospital stay, incision length and chest tube indwelling time between the two groups (P ＞ 0.05). Fracture healing time in the early group was shorter than that in the late group, and the difference was statistically significant (P ＜ 0.05). Comparison of CRP and PCT before operation between the two groups showed no significant difference (P ＞ 0.05). CRP and PCT after operation in the early group were lower than those before operation and after operation in the late group, with statistically significant differences (all P ＜ 0.05). The total incidence of complications in the early group was lower than that in the late group, with statistically significant difference (P ＜ 0.05). Conclusion Early surgical treatment of patients with multiple rib fractures can improve the efficacy, reduce the level of inflammation in the body, and have high safety, which is worthy of clinical promotion.
胡文锋 洪伟▲. 不同手术时机对多根多处肋骨骨折患者围术期安全的影响[J]. 中国医药导报, 2020, 17(30): 95-98.
HU Wenfeng HONG Wei▲. Influence of different operation timing on perioperative safety of patients with multiple rib fractures. 中国医药导报, 2020, 17(30): 95-98.
2020, Vol. 17 
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