小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 疼痛
- 呼吸困难
其他诊断因素
- 氧合功能受损迹象
- 反常胸壁运动
危险因素
- 胸部钝器伤
- 儿童身体虐待
- 骨质疏松症
- 45 岁以上
- 体育运动
- 原发性骨肿瘤
- 转移性骨肿瘤
- 心肺复苏 (CPR)
- 剧烈咳嗽
诊断性检查
首要检查
- 胸部 X 线检查 (CXR)
- 骨盆 X 线
需考虑的检查
- 胸部 CT
- 胸部超声检查
- 血管造影术
- 头部、颈椎、胸部、腹部和骨盆的 CT 扫描
- 骨骼检查（儿童）
治疗流程
所有患者
撰稿人
作者
Peter Cundy, MBBS, FRACS
Associate Professor
Discipline of Orthopaedics & Trauma
University of Adelaide
Paediatric Orthopaedic Surgeon
Women's and Children's Hospital
Adelaide
Australia
利益声明
PC is on the boards of MIGA (medical indemnity insurance) and Orthopaedics SA. He owns stock though a personal superannuation fund. PC’s hospital, the Women's & Children's Hospital, Adelaide, receives institutional support from medical supply companies for salary of research scientists. PC received payment from a medical supplier for two lectures on wound dressings in 2017. PC declares that none of the above are relevant to the Rib Fractures topic and that he receives no other money from suppliers.
Nicole Williams, BMedSc (hons I), BMed, Grad Cert Sports Med, FRACS (Ortho)
Associate Professor
Orthopaedics and Trauma
University of Adelaide
Head of Orthopaedic Surgery and Major Trauma Service Co-Director
Women's and Children's Hospital
Adelaide
Australia
利益声明
NW’s hospital, the Women's & Children's Hospital, Adelaide, receives institutional research support from medical supply companies and BioMarin Pharmaceutical Inc.
鸣谢
Dr Peter Cundy and Dr Nicole Williams would like to gratefully acknowledge Dr Paul Novakovich and Dr Brent Ponce, previous contributors to this topic. PN and BP declare that they have no competing interests.
同行评议者
Gino Kerkhoffs, MD, PhD
Orthopaedic Surgeon
Department of Orthopaedic Surgery & Orthopaedic Research Center
Academic Medical Center
Meibergdreef
Amsterdam
The Netherlands
利益声明
GK declares that he has no competing interests.
James Puffer, MD
President and Chief Executive Officer
American Board of Family Medicine
Lexington
KY
利益声明
JP declares that he has no competing interests.
鉴别诊断
- 胸壁挫伤
更多 鉴别诊断指南
- ACR 适当性标准：肋骨骨折
- 西方创伤协会有关创伤的重要决策：肋骨骨折的管理
更多 指南Videos
插入肋间引流管：开放技术动画演示
更多 操作视频
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明