最近审阅: 27 九月 2020
最近更新: 16 十月 2019

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
更多 首要检查

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)
更多 需考虑的检查

治疗流程

急性处理

撰稿人

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.

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.

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.

同行评议者展开全部内容

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.

President and Chief Executive Officer

American Board of Family Medicine

Lexington

KY

利益声明

JP declares that he has no competing interests.

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