Comparing the Efficacy of Conservative Treatment With Minimally Invasive Surgery in the Treatment of Rib Fractures
Chest Trauma, Rib Fractures, Surgery--Complications
About this trial
This is an interventional treatment trial for Chest Trauma focused on measuring rib fractrue;surgical treatment;Rapid recovery
Eligibility Criteria
Inclusion Criteria:
- Unilateral thoracic trauma, fractured ends of rib fractures displaced 2-4 places
- Displaced fracture(CT image shows double displacement of bone cortex) located in the 3rd to 10th rib
- The number of broken ends of displaced fractures is greater than that of undisplaced fractures
- The length of time from injury to hospitalization <24 hours
- Age range(18-70)
- ASA grade I-II
- BMI < 30
- Preoperative partial arterial oxygen pressure >60mmHg, partial arterial carbon dioxide pressure <50mmHg
Exclusion Criteria:
- Difficult airway
- History of esophageal reflux
- Myasthenia gravis
- Abnormal coagulation system
- History of gastrointestinal ulcer or bleeding
- History of anaesthesia related drug allergy
A history of asthma or chronic obstructive emphysema
8. Women during pregnancy
9. Flail chest
10. Combined with severe craniocerebral trauma and external abdominal injuries
11. Recent use of clopidogrel, warfarin and aspirin seriously affects blood clotting
12. Self-administered analgesics after injury
13.Massive hemopneumothorax requires emergency surgery
14. Patients who cannot tolerate surgery
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Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
surgical treatment
Conservative treatment
Minimally invasive internal fixation under spontaneous respiratory anesthesia and analgesic treatment and chest strap fixation
analgesic treatment and chest strap fixation