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Because the chest wall is directly impacted or squeezed violently, it is not enough to fracture the ribs, or due to the damage of the chest wall muscles, fascia, intercostal nerves, blood vessels, etc. due to the uncoordinated hands when carrying heavy objects, causing local swelling and pain Wait. The extent of injury is directly related to the trauma, and early diagnosis is easier; progressive hemothorax caused by laceration of organs and tissues is the main cause of rapid injury progression and patient death.

Chest contusion

Because the chest wall is directly violently impacted or squeezed, it is not enough to fracture the ribs, or due to the tension of the chest wall muscles, fascia, intercostal nerves, blood vessels, etc. due to the uncoordinated hands when carrying heavy objects, causing local swelling, Pain and other injuries to the chest wall soft tissue and periosteum are called chest contusions.

Affected area

chest

Related diseases

Pneumothorax fractures sternal fractures hemosternal sternal fractures traumatic hemothorax subcutaneous emphysema chest wall soft tissue deformity chest wall soft tissue injury chest duct injury blood pneumothorax swelling

Affiliated Department

Cardiothoracic Surgery

Related symptoms

Leukemia cells infiltrate osteoporotic pain severe pain open injury chest contusion sternal fissure lower end sternal tenderness sternal tenderness

Because the chest wall is directly impacted or squeezed violently, it is not enough to fracture the ribs, or due to the damage of the chest wall muscles, fascia, intercostal nerves, blood vessels, etc. due to the uncoordinated hands when carrying heavy objects, causing local swelling and pain Wait. The extent of injury is directly related to the trauma, and early diagnosis is easier; progressive hemothorax caused by laceration of organs and tissues is the main cause of rapid injury progression and patient death.

Severe local pain refers to touching the affected area, which can touch the thickness of the periosteum blunt or linear stripping, the intercostal muscles are tight, and sometimes a rolling strip of intercostal muscle fibers can be stripped, and tenderness is obvious.

Soft tissue damage of the chest wall refers to mechanical damage caused by external force to the skin, subcutaneous tissue, pectoral muscles, and intercostal tissue of the chest wall, which accounts for 40% to 60% of chest injury. Superficial soft tissue injuries such as abrasions and contusions are generally not clinically important, but if extensive contusions or penetrating injuries occur, they can have serious effects. The soft tissue damage of the chest wall is classified as whether the skin is ruptured, open or closed. Open injury is divided into penetrating injury and non-penetrating injury according to whether the chest wall wound is connected with the pleural cavity or the mediastinum. Severe cases can cause respiratory and circulatory dysfunction, and if not handled effectively in a timely manner, it can lead to rapid death of patients.

Differential diagnosis of chest contusion:

1. Sternal fracture: During the embryonic period, the sternal bones form the left and right sternal plates. At about 9-10 weeks, the sternum plates on both sides were fused to each other at the midline to form the overall sternum. If such fusion is not completed during embryonic development, or is only partially fused, a sternal fracture is formed. According to the location and degree of the fissure, it can be divided into upper sternal fracture, lower sternal fracture and total sternal fracture.

2. Sternal tenderness: The most obvious site of sternal tenderness in most patients is the lower part of the sternum, which is equivalent to the fourth and fifth intercostal sternum.

3. Tenderness at the lower end of the sternum: Tenderness at the lower end of the sternum is one of the important signs of leukemia. In addition, it can be found in malignant lymphoma and myeloproliferative diseases, but the latter two are relatively rare. Leukemia, also called blood cancer. When people have leukemia, especially acute leukemia, sternal tenderness becomes one of the important signs. According to clinical observation, the most obvious site of sternal tenderness in most patients is the lower part of the sternum, which is equivalent to the sternum in the fourth and fifth intercostal space. Medical scientists believe that the main cause of bone pain is due to the proliferation of leukemia cells in the bone marrow, which increases the volume pressure of the bone marrow cavity, and the infiltration of leukemia cells into the periosteum to stimulate the sensory nerves. Anatomically, the sternum plate is very thin, the skin covering this part is also very thin, and the periosteum sensory nerves are also abundant. Therefore, it is very sensitive to touch pressure and often produces obvious tenderness.

Severe local pain refers to touching the affected area, which can touch the thickness of the periosteum blunt or linear stripping, the intercostal muscles are tight, and sometimes a rolling strip of intercostal muscle fibers can be stripped, and tenderness is obvious.

Soft tissue damage of the chest wall refers to mechanical damage caused by external force to the skin, subcutaneous tissue, pectoral muscles, and intercostal tissue of the chest wall, which accounts for 40% to 60% of chest injury. Superficial soft tissue injuries such as abrasions and contusions are generally not clinically important, but if extensive contusions or penetrating injuries occur, they can have serious effects. The soft tissue damage of the chest wall is classified as whether the skin is ruptured, open or closed. Open injury is divided into penetrating injury and non-penetrating injury according to whether the chest wall wound is connected with the pleural cavity or the mediastinum. Severe cases can cause respiratory and circulatory dysfunction, and if not handled effectively in a timely manner, it can lead to rapid death of patients.

1. In an emergency, learn to protect yourself from injuries, or to minimize injuries.

2. When handling things, handle them gently and balance them vigorously.

3. External treatment: Jiegu San, Qingying Tuo Tuo Paste, Xiaoyu Analgesic Paste can be applied externally. After the swelling subsides, external application of Membrane Tough Paste, Wanling Paste. Oral administration: Heying Zhitong Decoction or Dingtong Hexue Decoction. The principle of the treatment of rib fractures is to stop pain and give antibiotics to encourage patients to cough and sputum to keep the airway open and prevent lung sensation