Chest wall soft tissue injury
Introduction
Brief introduction of chest wall soft tissue injury Chest wall soft tissue injury refers to the mechanical damage caused by the external force of the skin of the chest wall, the subcutaneous tissue, the chest muscles and the intercostal tissues, accounting for 40% to 60% of the chest damage. basic knowledge The proportion of illness: 0.007%-0.009% Susceptible people: no special people Mode of infection: non-infectious Complications: pneumothorax
Cause
Causes of chest wall soft tissue injury
Closed injury is mostly caused by crush injury, blunt impact injury, blast injury, etc., light can cause soft tissue contusion of chest wall, severe cause muscle fiber breakage and vascular injury of chest wall, open injury can be sharp, blunt and firearm Caused by injuries, common injuries include chest wall abrasions, contusion, stab wounds, cuts, and firearm injuries.
Prevention
Chest wall soft tissue injury prevention
There is nothing to pay too much attention to, early detection of early treatment will not cause too much damage to the disease. Usually pay attention to avoid damage in life.
Complication
Chest wall soft tissue injury complications Complications
Serious injury should pay attention to identify the presence of complications such as fracture, pneumothorax and hemothorax. X-ray film is of great significance for the diagnosis or elimination of complications.
Symptom
Symptoms of chest wall soft tissue injury Common symptoms Open injury Spotted bleeding Skin ecchymosis Subcutaneous hematoma Tissue fluid exudation
Typical manifestations are localized pain, deep breathing, increased coughing, closed skin lesions showing chest wall skin ecchymosis, local hematoma, open lesions showing chest wall wounds, types of wounds vary depending on the wound, and wound skin There are scratches on the surface, accompanied by exudation of tissue fluid, spotted hemorrhage; the edge of the wound is not neat, the surrounding tissue is heavier; the wound is small and deep, sometimes the wounds left in the wound are visible; The injured wounds are mostly linear, the edges are neat, the surrounding tissue is less damaged, and the bleeding is more. The tissue around the wound with firearm wounds is more damaged and the pollution is heavier. The wounds can be left in the chest wall tissue, such as the thoracic fracture. Injuries to the pleura and internal organs have corresponding symptoms and signs.
Examine
Examination of chest wall soft tissue injury
1. Blood gas analysis.
2. Chest X-ray examination can understand the amount of pneumothorax, the degree of lung collapse compression, the presence or absence of other complications and the degree of mediastinal shift.
Diagnosis
Diagnosis and diagnosis of chest wall soft tissue injury
diagnosis
If there is a history of chest trauma, a chest wall with ecchymosis, a hematoma or a wound, the diagnosis can be determined, but the extent of the injury should be carefully determined. The actual injury is often more severe than that shown on the chest wall surface.
Differential diagnosis
Costal cartilage
Is a more common chest disease, the cause is still unclear, more common in young adults, slightly more women, for the costal cartilage single or multiple bulging pain, local tenderness, and more violation of the 1st to 4th costal cartilage, cough, deep breathing and ipsilateral upper limbs The activity can aggravate the pain, no redness and swelling of the local skin, no abnormal findings on the chest X-ray examination, and the course line is 3~4 weeks.
Cervical spondylosis
Because the cervical spinal nerve root is stimulated to cause pain, sometimes the pain is in the lower part of the sternum or in the anterior region of the sternum. It can be radiated to the ankle, shoulder, upper limb and the medial and lateral sides of the hand. It is similar to angina, but the pain is persistent and contains nitric acid. Glycerin is ineffective, electrocardiogram Kyrgyz myocardial ischemia changes, X-ray shows cervical vertebrae hyperplasia, narrowing of intervertebral space and other changes, to identify.
