Clinical significance of isolated sternal fracture.

摘要: original paper SUMMarY Background: isolated sternal fractures(isF) are uncommon injuries and after exclusion of other concomitant injuries, isF can be classified as harmless treated on outpatient basis. Objective: Based literature own experience to make a simple algorithm in the diagnosis treatment isF. p atients methods: retrospective analysis medical records patients who were admitted with Clinic for Thoracic surgery UCC sarajevo between January 2000 2010. results: review included 49 The average age was 52.67 ± 12.42 (range 21 81) years. group 41 61 years significantly more prone Male/female ratio 2.2:1 (34/15). major cause injury, seen 77.6% (38/49) cases, an involvement road traffic accidents (rTas). statistically, there is significant difference (χ2 = 6.74; 0.009) frequency occurrence drivers [55.1%(27/38)] passengers [22.4%(11/39)]. Of remaining eleven patients, four caused by falls at home, seven direct violence chest either sport or fight. view radiography diagnostic all most [83.7% (41/49)] enzymatic values elevated. e Cgs recorded which only 12.2%(6/49) had abnormality. duration hospitalization 3.57 ±2.01 1 7) days. it should noted that 34.7% discharged less than 24h 73,5% under 48h. Commonly used analgesic, metamizol, applied 98.0%(48/49) cases. combination tramadol metamizol given 63.3% (32/49) patients. Conclusion: stablished results support no abnormality Cg cardiac enzymes during early hours injury expected have benign course home within first 24 48 hours. proposed assistance making such decisions.