Which are the fracture clinical manifestation of rib? 's clinical symptom
Some pain is rib fracture and most obvious symptom, and cough, deeply breathe at the same time or such sports as the body is rotated are aggravated, the patient can hear or feel there are rib fractures by oneself at the same time sometimes " The click click " Bone friction sense. Pain and thoracic stability destroy, can make, breathe, move limited breathing shallow fast degree and alveolus keep in touch with reduce, patient dare, cough, the intersection of phlegm and retention, thus cause lower the intersection of respiratory tract and the intersection of secretion and obstruct, the intersection of lung and wet become or the intersection of lung and piece. This should pay attention to patient of decrepit patient or original lung illness particularly.
On the flail chest, when inhaling, the negative pressure of thorax increases, soften some walls of the chest sunkenly inwards; While exhaling, the thorax pressure increases, the wall of the chest damaged floats protrudingly, this is contrary to sport of the other walls of the chest, called " abnormal breath sport " . Can make the intersection of both sides and thorax to be pressure mediastinal to breathe, move to about time at the same time uneven while being abnormal to breathe sport, called " mediastinal swing " ,Influence the blood reflux, cause the circulation function to be disorderly, cause and aggravate one of the important factors of shock. Flail chest ache and thoracic stability destruction serious at the chest, abnormal to breathe sport, make, breathe sport to be limited furthermore, it is unable to cough, vital capacity and functional residual capacity (FRC) Reduce, the intersection of lung and person who comply with and moisture quantity reducing, often with serious dyspnea and hypoxemia disease. Had thought in the past, some gas, with inhaling and exhaling to flow in strong in the side and injuring the side lung back and forth occasionally of flail chest, can't exchange with the atmosphere, it is angry to is called the convection of the residual gas or swings, it is the main reason for breathing function obstacle. If you can't and not think at present, swing, it is too angry to exist,but flail chest often with lung dampen can last alveolus and among quality bleeding, edema, alveolus breaking and piece, it is the important reason for causing the breathing function obstacle.
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