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If the damage the intercostal and other vessels of the chest or razryvelegkogo bleeding occurs in the pleural cavity is formed and hemothorax. The dramatic tension of the muscles of the abdominal wall at palpation gives a sense of doskoobraznoy density characteristic symptom with rupture Current Procedural Terminology intraabdominal organs. Usually posletravmy patients develop: a pronounced fall in heart activity, shortness of breath, pallor, cyanosis, cold appearance of shock and sometimes loss of consciousness. Abdominal organ injury requiring immediate surgery, which is due to a severe condition of the patient is under retired your blood pressure, pulse, respiration and is accompanied by blood here struynokapelnym method. Treatment. Operative treatment. Danger open pneumothorax that while breathing air enters and leaves of the pleura, which infects the pleura and mediastinum leads to the balloting, irritation of nerve endings and a decrease in the respiratory surface lungs. Open pneumothorax complicated by shock in more than 60% of patients. retired there is no pronounced acute anemia, these patients are treated conservatively: quiet, cold na loin introduction of hemostatic agents, transfusion of hemostatic doses of the blood. For this purpose, the coupling needle wear a rubber tube that pinch when removing the syringe or cannula used with a crane. With rupture of lung as a flap valve may develop a pneumothorax, when inhaling air enters the pleura, and during expiration can retired exit from the pleural cavity through the bronchus, as the flap closes the damaged lung bronchi do not miss it. In such cases, an urgent need to make a diagnosis and surgical treatment, because should not be retired either one hour. When valvular pneumothorax puncture the chest wall shows a muddy trocar to remove air. X-ray examination revealed congestion of air pleura and lung atelectasis. Subcutaneous emphysema after trauma of the chest is an outward expression of a closed injury of the lung. Heart as an organ anatomically more sheltered, damaged, rarely, even less damaged esophagus. Sometimes it is permissible to provide a permanent diversion of urine catheter inserted through the urethra. For the prevention of suppuration hematoma her suck and injected antibiotics. Usually, after such treatment, the symptoms will soon pass (if no broken bones or organ damage). Ruptures of the parenchymatous organs (liver, spleen, kidney) are dangerous development of internal bleeding and severe anemia. retired strong blow with an object in the stomach during relaxation of the abdominal wall or, retired when struck abdomen, lower chest incident on the solid is a typical mechanism of injury with rupture of the stomach. Abdominal trauma may be accompanied by a rupture of the diaphragm and the occurrence of viscera into the chest cavity. Clinic closed organ damage zhivotaharakterizuetsya advent of severe pain across the abdomen with the greatest severity of organ damage. Symptoms and flow. The general condition of these patients are usually heavy, they need a rest to combat anemia and to restore disturbed functions of vital bodies. Symptoms and flow. Help with open pneumothorax should be to impose Hermetic (occlusive) dressings. In this case, manifested severe dyspnea, cyanosis, rapid pulse, restriction Positive Airway Pressure respiratory excursions retired side of the chest, the appearance of subcutaneous emphysema, packaged sound with percussion and a weakening respiratory noise. In the latter case a threat of death from asphyxia. Closed injuries of the abdominal cavity. Hemothorax, ie accumulation of blood in the pleura, can be one-sided and bilateral. Perforation of the stomach, dvenadtsatpperstnoy intestine, gall bladder, colon, esophagus. retired the absence of an emergency puncture readings begin with 2-3 days after injury. If anemia is growing, require surgery. Finally, a severe injury may cause the development of shock.