Symptom and _'s clinical symptom of physical sign of rib fracture

Symptom and _'s clinical symptom of physical sign of rib fracture
Fracture broken end stimulate intercostal nerve produce pain, deeply breathe, cough or health can aggravate pain to rotate. Pain make injure side breathe activity degree limited, it is unable to cough, it is apt to enable respiratory tract secretion retention, it does not cause the lung that apt one, lung are infected with,etc. complication. The disconnected end of fracture shifts inwards and can be pricked among the pleura, rib blood vessel and lung are organized, it is angry and swollen or spits blood etc. to produce pneumothorax, hemothorax, cover and leave, there are corresponding symptom and physical sign. The injury part of wall of the chest may have swelling or some hematoma, the visible part is deformed when fracture shifts. The flail chest patient can see and soften the wall of the chest to present abnormal sports with the normal wall of the chest during breath, the patient can have dyspnea, cyanosis, even suffer from shock. There can be obvious tenderness of fracture position in the physical examination, with the bone fricative.
1. Symptom: The intersection of rib and the intersection of fracture and the intersection of position and pain, aggravate obviously deeply breathe, cough, rotate body posture. The secretion of respiratory tract often increases after being wounded, but because the chest pain is unwilling to cough to arrange the phlegm, apt to cause the intersection of lung and piece and infect, appear and have difficulty in breathing. Spit blood or bring blood in the phlegm after being wounded, say that there are lungs that are dampened. 2. Physical sign: a. Amalgamate wall of the chest, dampen, some to have swelling and skin lay extravasated blood more; b. It presses sore spots to be the intersection of rib and the intersection of fracture and, sometimes can lay one's hand on and the intersection of fracture and disconnected end or rub the sense often obviously; c. Pinch the wall of the chest, place sharp pain of the fracture with hands, namely pushed and tested the masculine gender; d. Many large rib ' Pair) Fracture in the place can be seen the wall of the chest of injury and collapse and abnormal and breathe sports, the patient often cyanosis, breathes urgent, pulse fast, the blood pressure is low, even suffer from shock; e. While amalgamating pneumothorax, hemothorax, there is corresponding clinical manifestation.
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