Rib fracture symptoms?

summary

There are 12 pairs of ribs, which are equally divided on both sides of the chest, and connected with the sternum in the front and the thoracic vertebra in the back, forming a complete foot contour. Rib fracture is the most common, accounting for about 90% of thoracic fractures. In children, ribs are elastic and not easy to break, while in adults, especially the elderly, ribs are less elastic and easy to fracture. Rib fracture symptoms? Let's talk about it

Rib fracture symptoms?

Local pain is the most obvious symptom of rib fracture, which is aggravated by coughing, deep breathing or body rotation. Sometimes patients can hear or feel bone friction.

Pain and chest stability are damaged, which can make respiratory mobility limited, breathing shallow and alveolar ventilation reduced, patients dare not cough, phlegm retention, resulting in lower respiratory tract secretion obstruction, consolidation or atelectasis, which in elderly patients or patients with lung disease should be given priority *.

When the flail chest exists, when inhaled, the negative pressure of the chest increases and the softened part of the chest wall sinks inward; When exhaling, the chest pressure increases and the injured chest wall floats and bulges, which is opposite to the movement of other chest walls. It is called "abnormal breathing movement". Abnormal breathing movement can make the chest pressure on both sides unbalanced, and the mediastinum moves back and forth with breathing, which is called "mediastinum swing", affecting blood return and causing circulatory dysfunction, It is one of the important factors that lead to and aggravate shock.

matters needing attention

Both ends of the fracture due to the upper and lower ribs and intercostal muscle support, dislocation, little activity, more automatic healing. The main purpose of thoracic fixation is to reduce the activity of fracture end and relieve pain. The methods include: wide rubber band fixation, multi band chest cloth fixation or elastic chest band fixation. The treatment principle of simple rib fracture is pain relief, fixation and prevention of pulmonary infection. It can be taken orally or intramuscularly when necessary.