#益阳头条 ##益阳市第三人民医院#
With the acceleration of the pace of modern life, there are more and more cases of people suffering from chest trauma caused by various factors. Rib fracture is a common chest trauma and is often referred to as "breathing pain", which shows the degree of pain!
Mr. Cao (pseudonym), 49 years old, was rushed to the Third People's Hospital of Yiyang City by 120 for treatment due to an accidental fall and injured his chest, and suddenly felt severe chest pain, and every breath he inhaled and exhaled was extremely difficult.
Three-dimensional chest CT reconstruction showed that the 3rd, 4th, 5th, and 6th ribs on the right side were fractured and pleural contusion, and the fractures of the 4th and 5th ribs were obviously misplaced. Since the broken end of the rib is not fixed, once the broken end of the rib is moved, the displacement of the fracture end will puncture the pleura, intercostal blood vessels and lung tissue, and there will be a risk of hemopneumothorax!
【Mr. Cao's preoperative chest CT 3D reconstruction image】
The traditional treatment of rib fracture is through external fixation of the chest belt, drug analgesia, phlegm and other treatments, but with this treatment, not only the patient has poor pain relief, but also has difficulty in expectoration, which increases the occurrence of complications such as lung infection and atelectasis. Open reduction and internal fixation of multiple rib fractures can significantly reduce the incidence of various complications, significantly improve the symptoms of chest pain, and shorten the fracture healing time.
In order to alleviate Mr. Cao's pain as soon as possible and avoid more serious complications, the thoracic surgery team of the hospital decided to perform open reduction and internal fixation of right multiple rib fractures. After formulating a rigorous perioperative plan, Chief Physician Wen Yonghua, Vice President and Department Director, and the surgical team successfully performed the operation on Mr. Cao.
【Mr. Cao's postoperative chest CT 3D reconstruction image】
After the operation, Mr. Cao's pain was significantly reduced, and the three-dimensional reconstruction of the chest CT showed that the fracture ends were well aligned, and the fracture had been anatomically reduced, and he was now cured and discharged from the hospital.
【Mr. Cao's postoperative surgical incision recovery】
Dr. Tang Jie, Department of Thoracic Surgery, Yiyang Third People's Hospital, reminded citizens and friends not to panic in case of chest injuries and other accidents when going out.
The surrounding people or family members can lie down on the wounded, use clothing or cloth to wrap the chest of the injured person alternately, so that the chest of the injured person is temporarily fixed, and quickly call 120 to send the injured person to the hospital for further diagnosis and treatment. Remember, don't carry the injured person until the first responders arrive at the scene, and don't give painkillers to the injured person to avoid covering up the injury!
Hunan Medical Chat Special Author: Tang Jie, The Third People's Hospital of Yiyang City
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(Editor YH)