Iwiʻaoʻao fractures: ano, lapaʻau 'ana, mua kōkua

Iwiaoao fractures - ka loa, he pono ole pahu nā palapū. Ka mea oi loa susceptible i ka kūpuna. Lākou mau lua penei i emi elasticity a emi pono tolerated ke kanana nei me ka mea uuku. iwiaoao fractures mea o na kēia mau 'ano:

• mawae;
• subperiosteal;
• piha.

O ka hapanui o ia maʻiʻaʻai i Hi ohia.

Maomeka o ka eha

E like me ka rula, kanaka, mai hemo mai 5-8-mau iwi aoao. Ma ka liʻiliʻi loa - 11 a me ka 12th. O ke kumu ho i kekahi pae o ka hoʻoneʻe o ka distal welau. No ka mea, kauoha nā palapū hanaia mai e uuku angular me ka paakiki e hoopii mai ai, mai hemo mai ololi costal e pio pauku. IeAUPIIe, IAa IO, he fracture ia lŘlŘ ma ka wahi o ka waiū a hiki i ka traumatic pūʻali koa. Mua, no ka lilo o ka ili honua, i kona iwiʻaoʻao ona, a laila, i ka ma waho.

Inā he nui ikaika hana ma luna o ka hou nui like o ka piʻo, e hana ia ia e poha mai a me ka manaʻo ma loko. i kapaia papalua no hoi lakou a paa loa ia mau fractures. E like me ka rula, o ka ehaʻikepili ua pu ia e ke alaula o ke pleura, nāʻiʻo, ipu koko. Inā ka mechanical e ikaika ua noi ia nui mau mea, o ka pahu ua hanaia hoʻoneʻe wahi, i kapaia o "iwiaoao kiwikā." Full fractured iwi aoao i hookuu hoʻonāukiukiʻana mai o ka pohupani hale o ka iwi koena ai. E like me oe Exhale, ua malama ia lakou iho ana, a me ka wā ana - smoothing. Ka wā e like me nā palapū pinepine ana discontinuities pulmonary pleura a me ka pneumothorax, hemothorax, subcutaneous emphysema, hemoptysis. E hoʻomaopopo i ka mea i pono e ona loa fracture o na iwi aoao. Lapaʻau ma ka hale i mea hiki ole he nui nā palapū wale no (ina oe e ae i ke kauka). No kekahi laʻana, na mawae a me fractures mea i oi aku 1-2 iwi aoao.

Symptomatology a me kaʻike,

iwiaoao fractures wehewehe aku eʻoi kaʻeha ma ke kahua o ka hewa. Ua lilo ikaika ia i ka hanu nui a me ka cough. E hoomanawanui i ho'āʻo i ka hanu superficially, akā, pinepine. Ka mea, Ua haʻakoi e lawe i kekahi e pono ai ke kulana e hoʻolako i kā mākou i ka maluhia o ka hoʻohuli ai i nā wahi. Ka wā e like me nā palapū ikeia symptom koke maila inhalation. Man UOAAaOON loa lohi, akā, lawe i ka hanu nui, akā, ke kaʻina aɃe ma hope o ka hoouka kaua ana o ulia pahi eha. Ma palpation hāliu aku kūloko no ka palupalu, a me kekahi manawa crepitus. Naʻe, i ka hope o ua i ike i loko o ke kula o ka cartilage fractures o na iwi aoao. Ka wā mau fractures ano e pinepine ia cardio-naehana kāna hana, e like me ka pono me symptoms o na nā palapū. Kēia hiki alakai i ka ÷ naehana hanu ole. E like me ka rula, mawaho ninaninau i malama.

• tachypnea;
• haikeaʻili;
• malama aku ventricular tachycardia;
• hooki umauma (koena ai);
• cyanosis;
• asymmetry oiai ha ka neʻe 'ana o ka pahu pa.

Ke oolea o ka hoʻomanawanui mai ka poino hilinaʻi nui IIeEeAIEUAA a me ka helu o ka wāwahi lua penei.

mua-kōkua

Makakoho hanana - anesthesia. Ia mea,ʻaʻole e pono, e haawi aku i ka hoʻomanawanui analgesics a aeie o ka poino wahi. I kekahi manawa ka mea, ke e lawa, e haawi aku i ke kanaka kino he oluolu kūlana. Alaila, ia mea pono e koho i ka pahu, e like me ka hikiwawe e loaa. No ka mea, i kekahi makaʻuʻole neʻeʻana,ʻaʻole wale nō ke kumu no ka eha, akā, kekahi maoli ka pahiki o ka mahuahua kahe ana ke koko mai ka poino nā'aʻaʻa. E stabilize i ka iwi hakina thorax superimposed hoʻopoepoe ke haka pono maila lole wili fracture lua penei. Ua hiki ke i mai ka hamoʻia mea a lole wili. ʻO ia paha wahi, kahi hiki iwiaoao fractures, e kau pulupulu-gauze nā pale poʻohiwi.