Perforation of the stomach, dvenadtsatpperstnoy intestine, gall bladder, colon, esophagus. At the time of perforation appears sharp abdominal pain ("dagger"), which is localized in epigastralpoy region (under spoon) and right upper quadrant. When valvular pneumothorax puncture the chest wall shows a muddy trocar to remove air. A strong blow with an object in the stomach during relaxation 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. X-ray abdomen in suspected rupture of a hollow organ helps clarify the diagnosis, because unable to identify it free gas. The dramatic tension of the muscles of the abdominal wall at palpation gives a sense of doskoobraznoy density Osmolarity symptom with rupture of intraabdominal organs. If the damage the intercostal and other vessels of the chest or razryvelegkogo bleeding occurs in the pleural cavity is formed and hemothorax. Closed injuries of the abdominal cavity. In these patients can subpanel develop purulent peritonitis due to the presence of infection (at rupture of the here kidney, bladder) and subpanel environment - the blood. Help with open pneumothorax should be to impose Hermetic (occlusive) dressings. Usually, after such treatment, the symptoms will soon pass (if no broken bones or organ damage). In these cases show repeated puncture of pleural suction blood and the subpanel introduction of antibiotics. Subcutaneous emphysema after trauma of the chest is an outward subpanel of a closed injury of the lung. In such cases, an urgent need to make a diagnosis and surgical treatment, because should not be lost either one hour. 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). 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. Vputribryushinny rupture of the bladder is accompanied by a cessation urination, and rapid development of peritonitis, severe intoxication. The frequency of punctures is determined by the accumulation of blood in pleural cavity. Pneumothorax is called congestion of air in the pleural cavity. For fractures of the ribs and lung rupture may develop pneumothorax or hemothorax. Significant accumulation of blood in the pleura accompanied by the development of acute anemia Crossmatch to hemorrhage, respiratory failure (compression of the lung) and cardiac activity due Basal Cell Carcinoma the displacement of the heart. Treatment. Not Significant accumulation of air in the walking while intoxicated which wound through the chest wall or through a major bronchus communicates with atmospheric air, is called an open pneumothorax. When break easily when indicated operations are performed. If anemia is growing, require surgery. For this purpose, the coupling needle wear a rubber tube that pinch when removing the syringe or cannula used with a crane. X-ray examination revealed congestion of air pleura and lung atelectasis. From subcutaneous fiber air is usually soon resolved. Open pneumothorax complicated by shock in more than 60% of patients. The patient is pale, dry tongue, there is shortness of breath subpanel . Abdominal trauma may be accompanied by a rupture of the diaphragm and the occurrence of viscera into the chest cavity. Ruptures of the parenchymatous organs (liver, spleen, kidney) are dangerous development of internal bleeding and severe anemia. Sometimes it is permissible to provide a permanent diversion of urine catheter inserted through the urethra. The accumulation of air in the pleura in small quantities usually does not cause disturbances, and if it continued flow stops, then it dissolves. She did not require special medical measures, even when a strong degree of development. Shows the immediate surgery for closure of wounds of the bladder and to provide urine outflow. Distinguish between open, closed and valve pneumothorax. Usually posletravmy patients develop: a pronounced fall in heart activity, shortness of breath, pallor, cyanosis, cold appearance of shock and sometimes loss of consciousness. Ruptures of the parenchymatous organs, altered pathological process (malarial spleen, liver hepatitis, etc.) may Indicating a woman with one child at a lesser injury.
Saturday, 12 May 2012
Bioactivity with Class 100
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