Tav lov: hom, diagnostics, thawj pab

Tav pob txha lov - lub feem ntau hauv siab raug mob. Lawv tshwj xeeb tshaj yog raug rau cov neeg laus. Lawv sawv muaj tsawg elasticity thiab tsawg zoo taus hom li nyob rau hauv yau. tav lov yog cov nram qab no hom:

• tej kab nrib pleb;
• subperiosteal;
• tiav.

Qhov tseem ntsws yog tawg.

Mechanisms ntawm kev raug mob

Raws li txoj cai, cov neeg tawg 5-8-s ribs. Thaum kawg - 11 thiab 12. Qhov no yog vim txawv muaj ntau seem ntawm cov kev mus ncig ntawm lub distal xaus. Rau direct raug mob inflicted los ntawm me me angular nrog ib tug nyuaj kwv, lov nqaim costal koov seem. Feem ntau, ib tug pob txha lov ua tshwm sim nyob rau hauv lub qhov chaw ntawm raug mus rau ib tug kev puas quab yuam. Ua ntej, rau lub puab nto yog tawg tav, thiab ces tus txheej.

Yog hais tias ib tug loj quab yuam ua rau qhov ntau uas nws kim heev qhov chaw ntawm lub arc, nws tshwm sim rau lawv tawg tawm thiab lub tswv yim sab hauv. Tej pob txha lov yog hu ua ob los yog conclusive. Raws li ib tug txoj cai, qhov kev raug mob cov ntaub ntawv yog los ntawm cov tawg ntawm lub pleura, cov leeg, cov hlab ntsha. Yog hais tias tus neeg kho tshuab quab yuam yog thov mus loj qhov chaw, lub hauv siab yog tsim rooj noj cheeb tsam, uas yog hu ua "tav valve." Tag nrho cov fractured tav feem ntau provokes tus xaav ntawm cov pob txha tawg tsam. Raws li koj tso pa tawm, peb pom lawv mus nram, thiab thaum nqus - smoothing. Thaum xws li kev raug mob feem ntau tshwm sim discontinuities pulmonary pleura thiab pneumothorax, hemothorax, subcutaneous emphysema, hemoptysis. Nws yuav tsum tau to taub hais tias muaj tej zaum yuav zoo yuav tuag taus mob loj heev puas ntawm cov ribs. Kev kho mob nyob rau hauv tsev yog tau tsuas yog rau cov tsis dhau loj raug mob (Yog hais tias koj yuav tso cai rau tus kws kho mob). Piv txwv li, tej kab nrib pleb los yog cov pob txha lov yog tsis ntau tshaj li 1-2 ribs.

Symptomatology thiab mob

tav lov yus ntse mob ntawm qhov chaw ntawm kev raug mob. Nws yuav ruaj heev thaum uas ib tug sib sib zog nqus pa thiab hnoos. Cov neeg mob sim ua pa superficially, tiam sis feem ntau. Lawv yuam kom coj mus ib qho kev pom txoj hauj lwm uas muab nyiaj pab ntau tshaj kev sib haum xeeb ntawm cov cheeb tsam. Thaum xws li kev raug mob tshwm sim cov tsos mob tu ncua nqus tau pa. Tus txiv neej nws heev maj mam, tab sis coj ib tug sib sib zog nqus pa, tab sis cov txheej txheem tsis tom qab qhov pib ntawm cia li ntse mob. Nyob rau palpation cim hauv zos rhiab, thiab tej zaum kuj crepitus. Txawm li cas los, lub tom kawg yog tsis pom nyob rau hauv tshav pob ntawm cov pob txha mos pob txha lov ntawm lub ribs. Thaum ntau pob txha lov xwm yog feem ntau cim cardio-pa mob, raws li tau zoo raws li cov tsos mob ntawm sab hauv kev raug mob. Qhov no yuav ua rau ua pa tsis ua hauj lwm. Raws li ib tug txoj cai, lwm xeem muaj cai:

• tachypnea;
• daj ntseg daim tawv nqaij;
• pab ventricular tachycardia;
• ceasing hauv siab (tawg tsam);
• cyanosis;
• asymmetry thaum lub sij hawm ua tsis taus pa taw ntawm lub hauv siab phab ntsa.

Cov heev ntawm tus neeg mob los ntawm kev raug mob nyob localization thiab tus xov tooj ntawm kev rhuav npoo.

thawj-aid

Xub tshwm sim - tshuaj loog. Nws yog tsis tsim nyog muab tus neeg mob analgesics los thaiv ntawm tus puas cheeb tsam. Tej zaum nws yog cia li txaus rau muab tib neeg lub cev ib tug xis txoj hauj lwm. Ces nws yog tsim nyog los txhim kho lub hauv siab sai li sai tau. Vim hais tias tej careless zog tsis tau tsuas yog ua rau mob, tab sis kuj yuav tsub kom qhov tshwm sim uas muaj zog los ntshav los ntawm puas ntaub so ntswg. Yuav kom tswj cov pob txha tawg tsam qab plab superimposed yeej kho ntaub qhwv puas npoo. Nws yuav ua los ntawm seem cov ntaub ntawv los yog ntaub qhwv. Cov yuav qhov chaw nyob qhov twg tshwm sim tav lov, yuav tsum muab tso rau lub paj rwb-gauze los.