[
Abstract]
[
Full Text PDF] （in Japanese / 1933KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 92(9): 1363-1366, 1991
Report on the annual meeting
PRESERVATION AND IMPROVEMENT OF CHEST WALL FUNCTION
Anterolateral multiple rib fractures near xyphoid process impaired mechanical linkage which resists distortion between pulmonary (upper) and abdominal (lower) rib cage resulting in flail chest. Repair of fractured ribs with ceramic pins improved phase shift between the diaphragm and the rib cage and the amplitude of the injured rib cage motion, and decreased rib cage distortion. Asymmetrical motion of lower rib and upper abdomen which suggested impairment of the diaphragm action on the abdominal rib cage was found in three patients whose emphysematous bullae were located in the middle and lower lung fields, and disappeared after bullectomy. To control the pressure in the pleural cavity after pneumonetomy from excessive negative pressure to atmospheric pressure with SF
6 improved pulmonary function.
Chest wall function can be preserved on the basis of functional anatomy and physiology of the chest wall.
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