How is rib fracture treated
summary
There are many patients with rib fracture in our life, especially now there are more and more traffic accidents. Most rib fractures are caused by external violence, which can be divided into direct violence and indirect violence. Among them, 4-7 rib fractures are the most common. Single or several rib fractures have complete ribs to support the chest, which has little impact on respiratory function. Because of the loss of support at the anterior and posterior ends, the adjacent multiple fractures softened the thorax and produced abnormal respiratory movement. If the softening area is wider, * the pressure of the pleural cavity on both sides of the respiratory system is unbalanced, which leads to venous blood reflux, leading to hypoxia and carbon dioxide retention. Severe respiratory failure and circulatory failure will occur. Let's share some experience.
How is rib fracture treated
First, for closed single rib fracture, the focus of treatment is analgesia. Fixation of thorax and prevention of complications. Encourage and assist patients to cough, expectorate, prevent pulmonary infection, so as to reduce the incidence of respiratory complications. At the same time, care about the psychological changes of patients, care about patients.
Second: for closed multiple rib fractures, patients in critical condition should keep the respiratory tract unobstructed, and for patients with cough and respiratory failure, tracheotomy should be considered. The softened chest wall should be fixed with bandage, traction and internal fixation to prevent respiratory obstruction.
Third: for open rib fracture, the first is to clean the chest wall wound to prevent bacteria from invading into the patient's body. At the same time, the fracture end should be fixed to prevent aggravation of the disease. If the pleural cavity has been penetrated, closed thoracic drainage must be performed in the hospital, and antibiotics should be used after the operation.
matters needing attention
For such patients to understand the importance of deep breathing and effective cough, sputum discharge, prevent pulmonary infection. For patients in the treatment period, to quit smoking and alcohol, while avoiding eating stimulating food. After discharge, patients should go to the hospital regularly for reexamination.