Femur fractures and lung complications: a prospective randomized study of reaming.

医学 髓内棒 急性呼吸窘迫综合征 外科 股骨 肺挫伤 损伤严重程度评分 股骨骨折 肺炎 胸部(昆虫解剖学) 毒物控制 内科学 伤害预防 解剖 急诊医学 迟钝的
作者
Iqbal A Anwar,Felix D. Battistella,Rafael Neiman,Steven A. Olson,Michael W. Chapman,H. David Moehring
出处
期刊:PubMed 卷期号: (422): 71-6 被引量:59
链接
标识
摘要

Reaming the intramedullary canal during fixation of femoral shaft fractures may contribute to pulmonary morbidity in patients with trauma. The purpose of our study was to compare acute and late pulmonary complications after reamed or nonreamed nailing of femur fractures. Patients who had femoral shaft fractures were randomized prospectively to a reamed (n = 41) or nonreamed (n = 41) femoral nailing group. Arterial blood gases were measured before and after femur fixation. Ratios of PaO2/FiO2 and alveolar arterial gradients were calculated. Pulmonary complications (acute respiratory distress syndrome) (ARDS), pneumonia, and respiratory failure) were monitored. Age, gender, fracture site, fracture type, time to nailing, length of operation, Injury Severity Score, and Abbreviated Injury Scale-thorax were similar for the two groups. No significant differences were observed in the ratio of PaO2/FiO2 ratios or alveolar arterial (A-a) gradients before and after nailing. The overall incidence of pulmonary complications was 14.6% (eight patients who had reamed nailing and four patients who had nonreamed nailing), and given the sample size, definitive conclusions could not be reached because of inadequate statistical power. We were unable to document differences in pulmonary physiologic response or clinical outcome between patients having reamed and nonreamed femoral nailing. This study may serve as a pilot investigation for other clinical investigations.

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
Zoom发布了新的文献求助10
刚刚
核磁先生完成签到,获得积分10
刚刚
毛爱民发布了新的文献求助10
1秒前
平常的G发布了新的文献求助10
1秒前
1秒前
1秒前
yao8720发布了新的文献求助10
2秒前
GBY发布了新的文献求助10
2秒前
清爽子默发布了新的文献求助10
3秒前
Desamin发布了新的文献求助10
3秒前
Akim应助szc采纳,获得10
4秒前
Coconut应助00采纳,获得10
4秒前
不安寄容发布了新的文献求助10
5秒前
5秒前
5秒前
打打应助张雯雯采纳,获得10
5秒前
luxiansheng发布了新的文献求助10
5秒前
868发布了新的文献求助10
6秒前
6秒前
风雨无阻发布了新的文献求助10
6秒前
科研通AI5应助李小刚采纳,获得10
6秒前
lp完成签到,获得积分10
6秒前
6秒前
小满驳回了caifan应助
6秒前
鱼鳞飞飞完成签到,获得积分10
6秒前
研友_Zb1Xan完成签到,获得积分10
7秒前
gaoxueli完成签到 ,获得积分10
7秒前
刘佳敏发布了新的文献求助10
8秒前
机灵柚子应助迹K采纳,获得10
8秒前
夜翼完成签到,获得积分10
9秒前
油炸鱼干发布了新的文献求助10
9秒前
彭于晏完成签到,获得积分10
10秒前
Carrie发布了新的文献求助10
10秒前
赘婿应助LSY采纳,获得10
10秒前
辰月贰拾发布了新的文献求助10
11秒前
同城代打发布了新的文献求助10
11秒前
xuheng81916完成签到,获得积分10
11秒前
小丽完成签到,获得积分10
12秒前
NICO完成签到,获得积分20
13秒前
高分求助中
Continuum Thermodynamics and Material Modelling 3000
Production Logging: Theoretical and Interpretive Elements 2700
Les Mantodea de Guyane Insecta, Polyneoptera 1000
Conference Record, IAS Annual Meeting 1977 820
England and the Discovery of America, 1481-1620 600
Teaching language in context (Third edition) by Derewianka, Beverly; Jones, Pauline 550
電気学会論文誌D(産業応用部門誌), 141 巻, 11 号 510
热门求助领域 (近24小时)
化学 材料科学 生物 医学 工程类 有机化学 生物化学 物理 纳米技术 计算机科学 内科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 量子力学 光电子学 冶金
热门帖子
关注 科研通微信公众号,转发送积分 3582884
求助须知:如何正确求助?哪些是违规求助? 3152234
关于积分的说明 9491736
捐赠科研通 2854472
什么是DOI,文献DOI怎么找? 1569191
邀请新用户注册赠送积分活动 735033
科研通“疑难数据库(出版商)”最低求助积分说明 721006