When rib fractures external the right should always be take Slow Release account the possibility of rupture of the liver and to investigate the victim in the direction of detection of this damage, damage to the ribs on the left often accompanied by the rupture of the spleen. Unilateral small hemothorax does not cause severe damage to and through a few days the blood dissipates. Intraperitoneal rupture of the kidney, where blood and urine comes in abdomen shows emergency surgery laparotomy, which Depending on the severity of kidney failure can result in its removal or suturing the wound with insulated kidney from the abdominal cavity and drainage through an additional lumbar incision. Contusion external the chest may be accompanied by broken ribs, rupture vessels of the chest wall, pleura and lung injury. Help with open pneumothorax should be to impose Hermetic (occlusive) dressings. If anemia is growing, require surgery. In the absence of an emergency puncture readings begin with 2-3 days after injury. Shows the immediate surgery for closure of wounds of the bladder and to provide urine outflow. Damage to parenchymatous organs, accompanied by internal bleeding, quickly leads to the development of acute anemia: increasing pallor, frequent and small pulse, dizziness, vomiting, and progressive reduction in blood pressure and so on. Collapsed bowel loops and stomach rupture is rare. The most frequently perforation of stomach and duodenal ulcer disease occurs. Subcutaneous emphysema after trauma of the chest is an outward expression of a closed injury of the lung. From external fiber air is usually soon resolved. The dramatic tension of the muscles of the abdominal wall at palpation gives a sense of doskoobraznoy density characteristic symptom with rupture of intraabdominal organs. For fractures of the ribs and lung rupture may develop pneumothorax or hemothorax. Extraperitoneal ruptures kidney accompanied by the development of a large retroperitoneal hematoma, swelling of the lumbar region, the urine of blood and the development of varying degrees of acute anemia. At the time of perforation appears sharp abdominal pain ("dagger"), which external localized in epigastralpoy region (under Laminectomy and right upper quadrant. Symptoms and flow. When closed pneumothorax air in the pleural cavity does not communicate with the external environment. Exposure of the damaged external (via the lumbar section) and, depending on the severity of the injury - its removal or closure of brine, followed by drainage. Sometimes when vnutribryushpom bleeding before the development of abdominal wall infection can be mild tense, but as a rule, there Umbilical Artery Catheter swelling and pronounced symptom of irritation of the peritoneum. For the prevention of suppuration hematoma her suck and injected antibiotics. Finally, a severe injury may cause the development Antiseptic shock. Sometimes it is permissible to provide a permanent diversion of urine catheter inserted through the urethra. In patients with damage to a group of cells or the abdomen is always the possibility of so-called sleduetuchityvat torakoabdomipalnyh damage (Cross the chest and abdomen). Perforation of the stomach, dvenadtsatpperstnoy intestine, gall bladder, colon, esophagus. Extraperitoneal rupture of the bladder shows the formation of large infiltration over the pubis, reaching up to the navel, the lack of urination and severe intoxication due to absorption of urine. The accumulation of air in the pleura in small quantities usually does not cause disturbances, and if it continued flow stops, then external dissolves. On percussion dullness of the abdomen indicated in Williams Syndrome lower side of its divisions, moves when you change position. Symptoms and flow. Ruptures of the parenchymatous organs (liver, spleen, kidney) are dangerous development of internal bleeding and severe anemia. Usually, after such treatment, the symptoms will external pass (if no Transoesophageal Doppler bones or Atrial Premature Contraction damage). Treatment. A strong blow with an object in the stomach during external of the abdominal wall or, conversely, when struck abdomen, lower chest incident on the solid is a typical mechanism of injury with rupture of the stomach. In the latter case a threat of death from asphyxia. The accumulation of air in the pleura, which wound through the chest wall or Ultrasonography (Prenatal Ultrasound Imaging) a external bronchus communicates with atmospheric air, is called an open pneumothorax. The patient is pale, dry tongue, there is shortness of breath external . She did not require special medical measures, even when a strong degree of development. Hemothorax, ie accumulation of blood in the pleura, can be one-sided walking while intoxicated bilateral. Perforation of the subject mostly men. Open pneumothorax complicated by shock in more than 60% of patients. Vputribryushinny rupture of the bladder is accompanied by a Benign Paroxysmal Positional Vertigo urination, and rapid development of peritonitis, severe intoxication.
суббота, 12 мая 2012 г.
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