Medicine for treatment of _ of nursing of rib fracture

Medicine for treatment of _ of nursing of rib fracture
1.Pathology of cause of disease
4-7 longer and fixed rib, exchange fracture most.
Rib, at the fracture, fracture broken end can prick pleura or the intersection of lung and organization, cause pneumothorax, hemothorax, skin down angry and swollen, etc. After adjacent many many rib fractures, soften the wall of the chest of corresponding position because of losing support of the intact rib, can present abnormally and breathe sports (negative pressure increases in the pleura while inhaling, it is inwards sunken to soften the wall of the chest; While exhaling, negative pressure is reduced in the pleura, it is outwards protruding to soften the wall of the chest; It is exactly opposite to move about with the wall of the chest of the other positions) . If the softening area is in extensive range, will cause mediastinally to swing (unbalanced pressure in of both sides pleura) ,Can happen, breathe with circulatory failuring serious (mediastinal to swing, cause internal oxygen deficiency and carbon dioxide retention, influence the intravenous blood reflux at the same time) .
2.Clinical manifestation
Some pain, aggravate while especially deeplying breathe, coughing or changing the body posture, if amalgamating pneumothorax, hemothorax will present corresponding symptom. Check the body can be seen some tenderness obviously, if amalgamate adjacent many many rib fractures, injure the wall of the chest of side and present abnormally and breathe sports.
3.Treat the principle
Single root or single place rib fracture mainly relieves pain and prevents complication.
Many rib fracture focal points of adjacent many one:
( 1) Keep the angry way unobstructed, prevent and cure shock.
( 2) Pressurize to wrap up somely with thick dressing and chest tape temporarily while softening the first aid of wall of the chest, control abnormally to breathe sports.
Open fracture must perform the operation treatment, amalgamate the intersection of blood and pneumothorax person, need, make person who close pleura guided.
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