Contusion of the chest: treatment at home and traditional
First aid and treatment for a bruise of a thorax
Contusion of the chest — a common form of injury often encountered trauma and surgeons.
Is characterized by soft tissue damage, often with edema and inflammatory changes.
Possible more serious injuries with violation of the integrity of the bone and damage internal organs.
Features injuries in ICD 10
In the International classification of diseases, Tenth revision (ICD 10) contusion of the chest are considered as:
- external – S 20;
- open wounds — S 21;
- fracture of the ribs and sternum — S 22;
- the distortion and dislocation of the capsular – ligamentous apparatus — S 23;
- damage to the spinal cord and nerves — S 24;
- injury of blood vessels — S 25;
- damage to the heart muscle — S 26;
- unspecified injury or damage to other organs — S 27;
- crushing chest S 28;
- unspecified — S 29.
Depending on the cause, severity doctor diagnosis indicates only the code of the disease according to ICD 10, without specifying the clinical picture.
According to the international classification injury of the chest is written as S 22.
Types and characteristics of injuries
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Injury to the breast can be divided into two types: open and closed.
The most common closed injury, which is characterized by the absence of superficial wounds. Such damage include:
- injury in which no modification of the chest;
- different types of injuries with possible damage to internal organs: injury of blood vessels, heart, lung rupture, pneumothorax, hemothorax, fractured ribs, sternum, thoracic vertebrae;
- traumatic asphyxia, where there is suffocation due to heavy compression.
Closed injuries without significant damage to internal organs account for about 73% of the total number of chest injuries, half of which is accompanied by a bone fracture.
Such wounds vary greatly in character, location, severity of soft tissue damage and internal organs:
- Injuries. Don’t have any serious damage and is characterized by hematoma and pain, aggravated by coughing. Special treatment is not required. In some cases there is hemorrhage into a cavity or tissue of the thorax, which requires urgent hospitalization.
- Concussion. In the absence of anatomical changes observed in severe shock the patient. Breathing is shallow and superficial. Pulse rapid, irregular. Extremities cyanotic and cold. You need to be hospitalized.
- Compression. Violated respiratory motion, there is an outflow of blood from the forearms, head, upper part of the sternum. Developing asthma. Potential loss or disturbance of consciousness, also temporary loss of sight and hearing. The patient should be hospitalized in a half upright position.
- A hemothorax. Due to the strong damage of intercostal vessels, internal mammary artery, lungs possibly the concentration of blood in the pleural cavity. Small and medium-sized hemothorax is characterized by a slight deterioration of the victim, allowed conservative treatment. With a strong accumulation of blood, the patient has shock. Regardless of the degree of hemothorax patients are hospitalized on a mandatory basis.
- Pneumothorax. When damage to the lung in the pleural cavity accumulates air (pneumothorax), which leads to deterioration. There is a shortness of breath, respiratory distress, dyspnea.
- Fractures of the ribs. The most common injuries injury to the chest. Often affects people of middle and old age. In children, because of the elasticity of bone structures, this injury is quite rare. Main complaint is sharp pain at the point of impact, which increases when breathing. During palpation reveal crepitus of bone fragments, but this study should be conducted carefully not to cause more damage and cause traumatic shock. The greatest damage possible when multiple rib fractures.
- Fracture of the sternum. Very rare. In addition to local pain syndrome observed mobility at the site of injury and hematoma. Trauma with damage to internal organs. In most cases combines the injury of internal organs and the chest wall. This injury is called combined. In most people there is shock, there is a violation of breath.
- The damage to the lung. Happens mostly when wound it sharp shards of broken ribs. The clinical picture depends on the size of the injury. With a small gap relatively quickly the wound closed, the blood and air in the pleural cavity are not available. Visually detect such a wound is impossible.
How to determine injury?
Bruised chest not notice it is simply impossible, the symptoms occur immediately after impact.
The main signs of injury:
- sharp pain that increases on breathing in;
- the place injury occurs bruising and lividity;
- if the hematoma may receive the swelling of the soft tissues;
- the injured area may be palpable seal.
In cases where the injury is accompanied by serious damage, the symptomatology is more pronounced. The skin take the pale form there is a giddiness, shortness of breath. When a sharp pain, possible shock and stop breathing.
Damage to the thorax on the left side of the heart muscle can cause clinical death. Heart massage is not recommended, as it will only aggravate the situation.
If the blow fell on the right side, it could lead to injury of the lung.
With injury of the chest the patient is necessary to immediately provide first aid.
Help the victim to take a comfortable position, provide complete rest to the injured place put cold compress.
The cold reduces bleeding and swelling of soft tissues.
The purposes and methods of treatment
If the injury to the chest surface, its treatment is possible at home. Patients are encouraged to apply on the injury of cold, but no more than 15 min. 3-5 p./day.
On the third day of cold compresses change to a warm, for example, a hot water bottle or the bathroom.
Folk remedies can also be used in combination with the classical methods.
It must be remembered that heat compresses, and bandages can be applied to the bruised place on the third day.
- For the treatment of simple contusion of the soft tissues: honey mix with fresh aloe juice to moisten the bandage and apply to the affected area.
- Economic place to RUB on a small grater, mix with raw egg yolk. Lubricate injury 2 R/day.
It is recommended to use any infusions of herbs in alcohol. Alcohol medicinal tinctures have a warming, analgesic and anti-edema effect.
Recipe: 100 g herb pour 0.5 liters of vodka or alcohol, insist the mixture for at least 3 days and use as a compress.
After hospitalization, the diagnosis, the specialist prescribes a comprehensive treatment.
In some cases, the patient impose tight bandage the whole area of the sternum. This will help to reduce pain in movement and eases breathing.
In addition, depending on the symptoms, specialists prescribe ointments:
- pain – severe pain;
- anti-inflammatory – to relieve swelling;
- tromboliticaskie for resorption of blood clots in veins.
If the injury is serious and is characterized by ICD 10 as S 26 – 28, patient left in the hospital. If necessary, held puncture of the pleural cavity to remove air and blood.
In this case, carry out the following treatment:
- cold and warm compresses;
- constant analgesic and anti-inflammatory therapy;
- apply a special bandage to limit mobility;
- if necessary, carried out the operation for stapling of large vessels.
Complications and consequences
Usually all the damage disappear after 2-3 weeks. If the injury is wore of a serious nature, at the site of the hematoma for a long period of time may maintain the seal.
Its impact can affect the respiratory system (shortness of breath, heavy breathing) can lead to chronic lung disease.
When struck in the chest could be injured heart vessels that leads to post-traumatic clot.
The recovery process depends on the severity of the injury. If the injury were not of a serious injury, recovery occurs in 5-8 days.
If the injury was accompanied by severe injuries, recovery may be delayed up to a month. For faster recovery, patients are requested to undergo a complex physical treatments.
After the healing of fractures, you must go gradually to increased stress. Rehabilitation exercises are carried out only under the supervision of a specialist.
Do not forget that even after full recovery possible risk of repeated fractures and bruises, so you should protect your chest from congestion.
Ignoring the injury can provoke not only a very serious breach and pathological changes in the body, but also lead to death.
So if any even the most minor injuries of a thorax, it is necessary to consult a specialist and undergo a complete examination.