Rib fracture erupts medicine for treatment of thoracic therapeutic _ of flail simultaneously

Rib fracture erupts medicine for treatment of thoracic therapeutic _ of flail simultaneously
As to the thoracic treatment of flail, except treat the principle of the simple rib fracture, especially pay attention to dispelling as soon as possible abnormally and breathing sports, keep the respiratory tract unobstructed and fully supporting oxygen, correct breath and circulate the function disorder and prevent and cure shock. Soften little range or lie back as wall of the chest, abnormal to breathe sport to be obvious minor, can adopt the part to insert the cushion and pressurize to wrap up. But when the floating range reaches more than 3 centimetres, can cause serious breath and circulation function to be disorderly, it is may double side flails chest (soft chest syndrome) to act as over 5 centimetres When, can cause the death rapidly, must deal with promptly. Insert the cushion and pressurize to wrap up temporarily at first, then draw fixedly the rib. The pincers gravity of the multi-purpose piece of cloth was drawn in the past, could hold the rib of strength in 1- 2 central choices of the floating wall of the chest by method, take the intersection of sharp knife and the intersection of thorn and one small mouth in upper and lower reason their separately behind the rough office, live in with the intersection of cloth and pincers the rib pincers, pay attention to damaging blood vessel and pleura among the rib, use and draw the rope it by the tail of the pincers, draw about 2 weeks with weight of 2- 3 kilograms through the coaster. Have already designed many kinds of tractors according to the similar principle at present, has replaced the pincers of piece of cloth with the purpose-built hook, fix the tongue tree and replace the coaster gravity with the wall of the chest, it is simple and convenient to draw the method, the activity that the patient can get up, and easy to pass on. Need conduct open the intersection of chest and patient of operation, can fracture carry on stainless steel silk tie up and sew, pitch fixed and stitch act as the bone marrow fix with gram to rib at the same time. Have not advocated employing controlling machinery to keep in touch with and dispel to the flail chest patient abnormally and breathe sports (the fixed law while breathing) without exception yet at present ,But to dampening and erupting with the serious lung simultaneously acutely and breathing the depleted patient, employ the respirator treatment in the trachea after the intubate or tracheostomy in time, there are its important positions.
The intersection of rib and fracture can heal by oneself within 2- 4 weeks while being large, emphasize while treating to breaking the end jointly like to the four limbs fracture either. Simple rib fracture is not fatal, the therapeutic focal point lies in the treatment to flail chest, to various treatment and prevention and cure complication injured in amalgamation, especially breathe depleted and shock.
|