Medicine for treatment of _ of first aid of family of rib fracture

Medicine for treatment of _ of first aid of family of rib fracture
In the chest wound, the rib has the most common fracture, accounts for 50-70% of the chest wound. Among them, roll over seeing more most with the single rib.
One, some is rib fracture
The human body has 12 pairs altogether, amounts to 24 ribs, are divided into two row of left and right sides. The front connects brestbone, connect the backbone behind, enclose into a thorax. The rib has important physiological meanings, it is not merely a support of the whole thorax, and breathe the component with indispensable movement. When people exhale, the intercostal muscle draws the rib to open up outwards, the skin of diaphragm sinks at the same time, the thorax is expanded, the air is breathed in into lung; When people exhale, the intercostal muscle is relaxed, the thorax goes back to the location, the air in the lung was breathed out outside the body immediately. Still protecting the important internal organs of the human body under the rib - -The hearts and lungs are dirty. Because the rib has certain elasticity, when the thorax is attacked by the external force, elasticity and support function of the rib can protect important internal organs inside from being injured. However, if the external force is too big, has exceeded the endurance of the rib, the rib will be broken, this is rib fracture.
In the chest wound, the rib has the most common fracture, accounts for 50-70% of the chest wound. Among them, roll over seeing more most with the single rib. The 1~3rd rib is short and thick, and there is clavicular, shoulder blade that is protected, unless is very enormous violence, otherwise will seldom fracture. The 4~7th rib is long and thin, aptest to break. The costal cartilage of the 8~10th rib front forms the costal arch, link with brestbone, the 10~12th rib front is dissociated, their elasticity is relatively great, will not fracture either generally. If fracture takes place, should watch out for the belly internal organs and damage of the diaphragm skin. By contrast, the elderly's osteoporosis, the fragility is relatively great, fracture more incident.
Second, discern rib fracture
It is the most common symptom to pain in the fracture place. After rib fracture, can stimulate the intercostal nerve nearby to produce some pain, cough, deeply breathe, change and aggravate in the body posture at the same time. Pinch the thoracic cage with hands, some wall of the chest will produce the obvious tenderness too. The patient can also hear fracture have by oneself sometimes " The creak creak " Fricative. If the disconnected end of rib pricks pleura and lung to organize, will make the air enter the pleura, produce pneumothorax. With the extension of time, air in the thorax accumulates the more, the lung tissue normal in oppression, will have difficulty in breathing. The great violence will also make many ribs present many many end fractures, the thoracic cage will present the obvious deformity. Some wall of the chest is softened because of losing support of the rib at this moment, present abnormally and breathe the phenomenon. Namely press and increase in the thorax while inhaling, fall into the wall of the chest of softening area; While exhaling on the contrary, the softening district expands outwards out. Called the chain cangue chest on medical science. If this kind of phenomenon exists continuously, will make patient's appearance breathed depletedly, cause the life danger.
Third, first aid of family of rib fracture
For closing the single place rib fracture of the conduct, the pleuripotent heals by oneself, does not need special treatment, the usable triangle bandage or cloth takes and suffers from side limbs to suspend in midair on the front during first aid of scene, utilize and protect the injured wall of the chest with side limbs. Let the wounded keep seats while paying attention to sending the courtyard, in addition don't take analgesic for patients easily, so as not to conceal the condition of the injury.
As to can let wounded use palm or greater than wound the intersection of edge and centimetre of airtight dressings, seal at once with the intersection of vim and vigour and thoracic the intersection of complexity and the intersection of rib and early fracture. If the patient has already had difficulty in breathing seriously, can fix airtight soft dressing with the viscous rubberized fabric, it is trilateral to seal living in, Left deviation, right, leave a blank on the downward side, it is angry to beneficial to arranging. When put the cushion made of towel or clothes on the chest and injured the arm in the side immediately, support the arm with the cloth tape, suspend in midair on the front. The arm should compress tightly the cotton cushion. Then let half wounded lie, support the back with appropriate supplies, make the body injure the side downward. Call out the ambulance to send to the hospital.
Roll over the abnormal breath that causes as to many many ribs, should select the bigger cushion at injury, hang and support and injure the side arm with the trigonometry, and then injure the arm to fix on the front with broadband, prevent the abnormal activity of the wall of the chest. Then let wounded half seat, support back with appropriate supplies, make, injure the side downward. Dial emergency call 120 rapidly, is sent to the hospital by the ambulance.
Small hands are hung and operated as follows:
1,Injured forearm of side being oblique to place front on, finger stick to offside to be clavicular, the angle of elbow is 30-45 degrees.
2,Open the intersection of triangle bandage and the whole piece, build forearm and back of the hand, bring sharp to stretch to behind the elbow.
3,Will take the end to locate on the injured shoulder of one side, the forearm still needs to keep the original position. Meanwhile, bring sharp and bottom roll over enter in the forearm, to down piece, wind back triangle bandage, get to the front of side shoulder not injured.
Hang tape, put in order at appropriate height carefully, then tie and check the wrist artery to beat the intersection of triangle bandage and upper and lower the intersection of both ends and sunken place at clavicular injure side, in order to really know blood supply is normal.
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