Fractures of ribs in humans arise quite often. They make up to 5% of all fractures. In connection with the decrease in the elasticity of the ribs with age, the edges of the elderly break.
Content
Fracture Ribers
Fractures of ribs arise:
- With fall
- with a straight impact on the chest
- when squeezing.
The fracture of one rib is called isolated, fracture of several ribs – Multiple.
Distinguish:
- crack
- Subdosny fracture when bone tissue breaks, and the periosteum remains intact
- Full rib fracture.
By themselves fractures of the ribs are not dangerous and quickly heal,
The danger is associated damage to the internal
organs.
Rib fractures are complicated
Light shell damage – pleura, lungs themselves. When damaged
Lungs and Plevra There is a risk of hemotorax
(accumulation of blood in the chest cavity between the inner and outdoor
Shell of the lungs), pneumothorax (accumulation of air in the chest cavity).
Sometimes the air from the lungs falls into the subcutaneous tissue, which is called
Subcutaneous emphysema.
Fractures of ribs are accompanied by a limitation of the mobility of the chest, a decrease in the respiratory volume of the lungs, especially in the elderly.
Most often fractures happen in the place of the greatest bending of the ribs – on
side surface of the chest. If broken one edge, offset
Frances usually do not happen. With multiple fractures of ribs fucking
can shift in different directions, injure nearby fabrics and
organs and cause dangerous complications.
The patient bothers the pain in the chest, which is enhanced by
deep breathing, cough, conversation. Pain can decrease in position
Patient sitting and enhanced when driving.
With multiple lung fractures, the patient usually sits motionless,
breathes superficial. When trying to the chest is detected
sharply painful fracture. When damaged lung fabric and output
Air into the subcutaneous tissue during parsing is felt by a specific
Correction of fatty fiber under the fingers – crepitus.
With a multiple fracture, the patient can break the ribs
Breath, heart rhythm. The skin becomes pale with blue
Tint. If the ribs are bothering the lung fabric - arises
Hemochok. Multiple fractures of ribs can be complicated by development
Lung inflammation.
The diagnosis of fractures of the ribs are carried out on the basis of a radiographic study. Pictures of ribs.
Treatment of rib fractures
With isolated and uncomplicated fractures of ribs
Personal anesthesia. Local applied for this
Novocaine or alcohol-novocaine blockades in the fracture area of each
ribs. Patient recommended a sedentary position in bed, assigned
Respiratory gymnastics, expectorant drugs, physiotherapeutic
treatment aimed at preventing stagnation in the lungs and
Improved lung ventilation.
Isolated and uncomplicated rib fractures often do not require
hospitalization and patients can be treated outpatient. With uncomplicated
Frams for the Blizzard Ribs usually take about one month.
Multiple and complicated fractures require
fixing edges, stretching, to restore the integrity of the chest
cells and normalization of breathing, for which the patient must necessarily be
Hospitalized. Sniffing air or blood with blood
Pneumothorax and hemotorax must be eliminated. For this execute
Puncture of the chest cavity, air or blood remove. Sometimes puncture
We have to perform again. In particularly severe cases resort to
Artificial light ventilation.
