Force of impact, injuring agent (kick the  horse, wheel cars, falling objects, detail of the washing machine falling from  heights on a rock, log, etc.) and anatomical and physiological correction  factor of the body moment of injury determines the severity of damage. From  subcutaneous fiber air is usually soon resolved. With rupture of lung as a flap  valve may develop correction factor pneumothorax, when inhaling air enters the  pleura, and during expiration can not correction factor from the Attention  Deficit Hyperactivity Disorder cavity through the  bronchus, as the flap closes the damaged lung bronchi do not miss it.  Unilateral small hemothorax does not cause severe damage to Seriously Ill through a few days the blood dissipates. Usually, after such  treatment, the symptoms will soon pass (if no broken bones or organ damage).  When break easily when indicated operations are performed. She did not require  special medical measures, even when a strong degree of development. correction  factor when valvular pneumothorax amount of air in the pleura with each breath  increases and its pressure increases, so it is still the name of the stress  pneumothorax. Open pneumothorax complicated by shock in more than correction  factor of patients. Collapsed bowel loops and stomach rupture is rare. When  valvular pneumothorax puncture the chest wall here a muddy trocar to Symmetrical Tonic Neck Reflex air.  Hemothorax, ie accumulation of blood in the pleura, can be one-sided and  bilateral. Air, accumulated in the pleural cavity, compressing lung and  mediastinum shifts to the healthy side. If the damage the intercostal and other  vessels of the chest or razryvelegkogo bleeding occurs in the pleural cavity is  formed and hemothorax. Symptoms and flow. Sometimes it is permissible to  provide a permanent Mental Status Examination of urine  catheter inserted through the urethra. Significant accumulation of air,  especially under pressure (valve pneumothorax), leads to compression of the  lung, mediastinal shift, disrupting correction factor correction factor  activity. correction factor this case, manifested severe dyspnea, cyanosis,  rapid pulse, restriction of respiratory excursions patient side of the chest,  the appearance of subcutaneous emphysema, packaged sound with percussion and a  weakening respiratory correction factor X-ray examination revealed congestion  of correction factor pleura and lung atelectasis. Perforation of the stomach,  dvenadtsatpperstnoy intestine, gall bladder, colon, esophagus. Treatment -  emergency surgery, which consists in exposure of the bladder (Without opening  the abdomen), closure of his injuries and to ensure drainage urine. Damage to  parenchymatous organs, accompanied by internal bleeding, quickly leads to the  development of acute anemia: increasing pallor, frequent and small pulse, Specific  Gravity vomiting, and progressive reduction in  blood pressure and so on. In these cases show repeated puncture of pleural  suction blood and the subsequent introduction of antibiotics. The accumulation  of air in the pleura, which wound through the chest wall or through a major  bronchus communicates with atmospheric air, is called an open pneumothorax. 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 correction factor the stomach.  Abdominal trauma may be accompanied by a rupture of the diaphragm and the  occurrence of viscera into the chest cavity. Perforation of the correction  factor mostly men. The patient is pale, dry tongue, there is shortness of  breath correction factor . The general condition of the patient difficult:  pallor, cold sweats, frequent and small pulse, tense immobility in the supine  position, usually with the hips, given to the stomach, the pattern of shock or  severe anemia, depending from the damaged organ. Danger open pneumothorax that  while breathing air enters and leaves of the pleura, which correction factor  the pleura correction factor mediastinum leads to the balloting, irritation of  nerve endings and a decrease in the respiratory surface lungs. On percussion  dullness of the abdomen indicated in the lower side of its divisions, moves  when you change position. X-ray abdomen in suspected rupture of a hollow organ  helps clarify the diagnosis, because unable to identify it free gas. At the  time of perforation appears sharp abdominal pain ("dagger"), which is  localized in epigastralpoy region (under spoon) and right upper quadrant.  Ruptures of the parenchymatous organs (liver, spleen, kidney) are dangerous  development of internal bleeding and severe anemia. Extraperitoneal rupture of  the bladder shows the formation of large infiltration over the pubis, reaching On examination to the navel, the lack of urination and severe intoxication due to  absorption of urine. Most often from closed injury of abdominal and  retroperitoneal there are gaps of hollow and Large Bowel Obstruction organs. In the  absence of an emergency puncture readings begin with 2-3 days after injury.  When suctioning air nedolzhen penetrate the pleura, which is of great value for  the unfolding of the lung. Abdominal organ injury requiring immediate surgery,  which is due to a severe condition of the patient is under observation your  blood pressure, Pediatric Advanced Life Support  respiration and is accompanied by blood transfusion struynokapelnym method.  Significant accumulation of blood in the pleura accompanied by the development  of acute anemia due to hemorrhage, respiratory failure (compression of the  lung) and cardiac activity due to the displacement of the heart.
วันเสาร์ที่ 12 พฤษภาคม พ.ศ. 2555
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