Medicine for treatment of fixed _ of thoracic cage of rib fracture
The fixed thoracic method is different because of damaging the intensity different from range in rib fracture 1.Treatment of the single place closing rib fracture Because upper and lower rib and intercostal muscle are supported, misplace, activities are few at the fracture both ends, the pleuripotent heals automatically. The fixed thoracic cage mainly moves about and lightens pain for reducing the end of fracture, the method is as follows, the wide adhesive tape is fixed, take one more cloth of chest fixedly or the elasticity chest is brought fixedly. 2.Thoracic treatment of flail Correct abnormally and breathe sports, resist shock, prevent and cure infecting and deal with and amalgamate damaging. The fixed thoracic method is as follows, thick dressing is wrapped up fixedly: Suitable for, soften wall of the chest range to use temporarily deal with promptly. The method is to pad several yuan or sand bag oppression to cover in the wall of the chest softening area with the cotton, and wrap up fixedly. Notice pressure to be moderate, should not high strung, the intersection of rib and the intersection of fracture and end imbed pleura in the, complications such as pneumothorax, hemothorax,etc. take place. The wall of the chest is drawn fixedly: Grip free sections of rib, wind with the intersection of operation and pincers with the stainless steel silk the rib, bottom flange under rough office, will soften the wall of the chest to mention, will be affixed to the support of wall of the chest, or draw the weight through the coaster by drawing the rope, draw time as 2- 3 weeks. The breathing machine " Fixed inside " : Suitable for with the patient not complete of the breathing function. Implement the intersection of trachea and intubate or the intersection of tracheostomy and skill, connect person who breathe go on, last and intermittence press, breathe 2- 4 weeks, treat the wall of the chest relatively stable, with normal analysis result of vim and vigour, stop the breathing machine treatment gradually. Fixed in the operation: Suitable for, amalgamate, have internal organs damage must turn on the intersection of chest and patient of surgery in the chest. Can cut the soft tissue of wall of the chest during operation, expose rib fracture brokenly to carry, fix the rib of every fracture with the metal suture. As to dual sides the wall of the chest of chest is softened, can hold up the brestbone ahead through the rear of wall of the chest with the metal sheet, and then affix both ends of the metal sheet to thoracic rib of both sides separately. 3.Treatment of the open fracture Should be clear completely early to create treating. Drive garrulous the intersection of bone and block and without life organization out, bite the disconnected end of flat fracture, so as not to stab the surrounding tissue. If the person who has damage of blood vessel among ribs, should sew and pitch and break the distance end of blood vessel respectively. Wipe out a section of intercostal nerve, help to lighten postoperative pain. Damage person deals with the pleura according to open pneumothorax. Inject tetanus and antitoxic serum and pay antibiotic prevented and cured, infect conventionally while being postoperative.
|
0 comments:
Post a Comment