title: [Clinical evaluation of extramedullary osteosynthesis in multiple rib fractures in conjunction with severe mechanical trauma and accompanying shock].
abstract: Extramedullary osteosynthesis of ribs was performed in 18 patients with apparatus SPG-20 for multiple rib fractures. The early surgical treatment of patients with thoracic traumas resutled in a substantial improvement of the external respiration function, the volume of intrapulmonary shunt, alveolar-arterial oxygen gradient and respiratory index being considerably decreased. The use of a mechanical suture of the ribs as a component in the complex treatment of patients with a thoracic trauma is an efficient method in the struggle against posttraumatic respiratory insufficiency and shock.
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D012119:Respiration; D012253:Rib Fractures / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012774:Shock, Traumatic; D013898:Thoracic Injuries / Q000150:complications* / Q000503:physiopathology
vernacular_title: Klinicheskaia otsenka ékstramedulliarnogo osteosinteza pri mnozhestvennykh perelomakh reber i tiazheloĭ sochetannoĭ mekhanicheskoĭ travme, soprovozhdaiushcheĭsia shokom.