Brief introduction of sternal fracture

Directory 1 Pinyin 2 Overview 3 Clinical Manifestations 4 Treatment Accessories: 1 Acupoint Treatment of Sternal Fracture 1 Pinyin Xi bu ng g ǔ g ǔ sh é

Conclusion The sternal fracture accounts for about 65,438+0.5% ~ 5% of chest injuries, and most of them are caused by strong blunt direct violence, such as bull's head, horse kicking, steering wheel impact in car accidents, etc. It may also be caused by firearm injury or sharp instrument injury. The fracture may occur anywhere in the sternum,

Clinical manifestations, but mostly in the upper part of the sternum body or the separation of the sternum body from the sternum stalk. The fracture line is mostly transverse and the displacement is very small. If there is displacement, the lower end generally moves forward and upward. However, in the case of steering wheel fracture or steering wheel syndrome, the lower end of the fracture can be displaced backward and upward, often accompanied by multiple costal cartilage or rib fractures, and abnormal breathing movement can occur. More than half of patients caused by direct impact are accompanied by mediastinal hematoma or even acute cardiac tamponade, pericardial laceration, myocardial contusion, valve injury, coronary artery contusion leading to thrombosis and myocardial infarction, heart rupture, thoracic aorta rupture or abdominal organ injury; Crushing injury may be accompanied by spinal fracture.

It is not difficult to find sternal fracture through consultation and lateral and oblique chest X-ray, but if the fracture is not displaced or accompanied by serious injury, the diagnosis of sternal fracture itself is often ignored.

If there is no obvious displacement in the treatment of sternal fracture, you can rest in bed to relieve pain, take oral painkillers or use procaine as local block, and recover in 2 ~ 3 weeks. If the fracture is displaced, it should be reduced and fixed as soon as possible after the injury is stable. Closed reduction can be used. Under local anesthesia, the injured person will be placed between the scapula and the thoracic vertebra, with his arms raised above his head and his sternum reset by hand pressure. Then a small pillow will be placed on the scapula, and the fracture will be pressed with sandbags, so he will lie prone and rest. Suspended gravity traction or fixed traction outside the chest wall can also be used. If the above methods are difficult to reset, open reduction and stainless steel wire fixation are feasible. The mortality rate of sternal fracture is as high as 30% ~ 47%, which is mainly due to the injury of internal organs or other parts of the chest, rather than the sternal fracture itself.

Clavicle acupoint for treating sternal fracture