Injury of soft tissue on the head. Post-mortem and wounds of soft tissues of the head, symptoms and symptoms of disease in case of a snake bite

In the gnepalny, a wound on the head of the naylegs is a wound of soft tissues, so that when they are poked, only twist the skull. They are wounded in quiet drops, if the projectile is wounded on the pitchfork (i.e., with little impact force), or else it will be straightforward to do it.

For an hour BBB of this kind, injuries were more negative in half (54.6%) of injured creatures. In the main, the stench ended in every ounce.

The clear development of semi-woven fabrics, densely intertwining the muzzles of the facial cranium, the relatively small size of the muzovykh nashruvans and the lack of fluffy wounds of the soft fabrics. Here, as a rule, there are usually small intestines, hematomas and nichi, protest often wounds from the wounds of the small valves. Moreover, there is little looseness of the fabric and it is good. vessel system zabezpechuyut to reach the temples regenerative tissue health Wounds of soft fabrics in the area of the head without great loss of speech should be worn loosely and without serious delay. Only for wounds that penetrate empty mouth, Z poshkodzhennyam knitted fabricі stenon ducts zalozi zalishayutsya dovgo nezagoynі fistula.

Injury of soft tissues of the head is not safe in that case, but when the brain is inflamed due to lymphatic and venous vessels, it can be widened on the cerebral membranes and the brain and the memory of the brain, abscess reduction Svoєrіdne accelerated wounding of soft tissues of the head - suppuration near the side of the body. Vono can be the reason for the establishment of a fistula with gn_yne visions.

In rare cases, wounds of soft tissues of the head are accelerated by osteomyelitis. As a rule, the osteomyelitis will be bumpy, and the crypt's bones are low. For pathoanatomical pictures develop superficial and glib osteomyelitis. In case of superficial osteomyelitis, the last plate of the cranial cysts is hostile, in which there is no other sequestration, in the case of the demarcation zone. At the tsіy zonі there is a kistka of green color and yak bi poїden. In case of malignant osteomyelitis, necrotic-gnarly, it expands to the last plate and the lip of the mouth, or the entire volume of the list is sequestered. The rest is a plate of an oval, or rather thick form, with a jagged color, with jagged edges, a smooth ring and a short inner surface. Shvi skulls do not overshoot the extended process.

The most common causes of traumatic osteomyelitis are necrosis of the last plate of the cyst after an hour of injury, or during the operation, and also bleeding into the lip of the mouth and trivial suppuration of soft tissues. Osteomієlіt pіdtrimu suppuration of the wound, or vede to the establishment of a fistula with gnіynye vіdіlennya, in some cases - up to enlargement fierce fire on a hard brain membrane. Win can also educate the development of leptomeningitis, brain abscesses and septic conditions. However, the process of speeding up is spared on a parity basis.

First aid in case of wounds of soft tissues of the head of the field, in bleeding, abrasion of the circumference and self-injury with an alcoholic solution to iodine (be careful with injured capital!). The surgical treatment of small wounds should be carried out by a veterinary medicine (part). Anatomical reason, in a large number of cases, allow the formation of an additional hanging wound from the application of a deaf or partial suture; In general, short-hour hospitalization is required or outpatient treatment.

In case of severe wounds in the area of the capital, which penetrate into the mouth empty of wounds and great defects, the surgical preparation should be carried out in the VEO, so as in these cases it is necessary to be more efficiently involved in the process of reducing the history of plasticity of the swelling

at great defects To change the tension and the unique deformation of the table, it is necessary to reduce the growth by the method of Celsus, Dieffenbach or Burov (in the presence of a defect).

On the wound of the cheeks, it is not possible to impose a scarlet suture, so as to the canal of the suture from the mouth emptying, it is possible to viclicate suppuration. In case of wounds, wounds and lips are more beautiful than Valikov's suture and bandage according to Medvedev.

Epithelial fistulas are operated according to the Sapozhkov method. Circular razr_zom until the pidlizovy ball of the cheek is separated from the inner wall of the fistula canal; screw the klapot into the mouth empty; From the side of the fresh surface of the wound, close the canal with the decalcoma with laced sutures, and put a suture with rollers on the wound of the shkіri.

Shkіru navkolo wounds sprinkle two times with a disinfecting solution (3% alcohol solution to iodine);

Treat the wound with 3% solution of water peroxide, dry it with sterile surgical servetki;

Zupiniti zvnіshnє bleeding from the soft tissues of the head with a sling applied bandages, to press, vikoristovuchi sterile material;

give the victim horizontal position;

Apply the cold to your head;

Create a spoky and organize a non-safe transport to a lucrative mortgage.

First medical aid for penetrating wounds of the breast

Close the wound on the thoracic clutch for additional sticky plaster (overlays at the viewer shingles), or you can close the gummed sheath of the individual dressing package and apply a sealing bandage tightly.

Transport the victim in the position of sitting, before zignut lower pictures on the left side of the roller.

Until the chest clits of the mikhur with ice.

Take out a belt of trousers and a shirt, which will stream the dull clothes.

Persha medical help for penetrating wounds of the abdomen.

Vip the organi through the front cage wall, close it with sterile gauze, pound the cuff around the wound, put a ball of cotton on the top and from the sides of the organs, and put on a circular bandage (you can cover it with a clean cloth).

Vipali organisms cannot be set in the empty space by themselves, which leads to the development of peritonitis.

A sufferer develops a shock, so they should go in and pass through the mouth.

Transport in the proper lying position with the raised upper part of the tulub and with the legs bent in the knees, such a camp is changed and extended ignition process in your belly.

9. Overcook the ways of the tim-o'clock zupinka annoying bleeding

For zupinki zvnіshnoy capillary bleeding on the wound apply an extraordinary aseptic dressing, vikoristovuchi sterile surgical servet and bandage.

It is possible to get a single part of the worn-out position according to the date to the tulub - at least one of the ways to stop the permanent capillary bleeding.

For venous bleeding - it is possible to squeeze the vertebral body without a median in the middle of the bandage after applying a bandage, squeezing, like a squeeze of tissue, changing the vertebral body and sprying thrombosis.

For zupinka zvnіshny arterial bleeding, you can press the plate with your finger in the early, or on the thigh (on the nails of the judge, press on the wounds, on the head and head - lower)

It is possible to fix the picture in the position of the maximum amount in the slope for the soreness of the arterial bleeding.

You can kill the blood-backbone with jgut.

10.Discount the last of the jgut overlay

Pidgotuvati gum jgut and cloth gasket.

Kintzivka for the return of venous blood.

A gasket should be applied to the bleeding for the shedding of the shkiri from the drop.

At 20 cm. From the cob of the jgut, you gulp with your left hand, and on the protrusion with your right hand. Bring the jgut to the insertion point and as much as possible unstretched, having broken 2 - 3 turns near the end.

Kintsi jguta strongly stretch or tie it between itself or knit it on the slider.

Control of the pulse rate at the lower recumbent markings and the rate of bleeding.

Save the suprovidnu card. Having indicated the exact hour of the application of the jgut і P.IB. (An infusion of jgut should be applied to the bunch of no more than 1.5 - 2 years, and the charge should not be more than 1 year, moreover, after 30-60 chilins, the jgut is laxed on a spike of quiline, the furrow of the jgut is easy to massage and once again apply the central one).

Dolikarska dopoga for fractures, vivikha

Traumatic fracture of the cyst is a deterioration of the integrity as a result of a significant physical factor. Fractures of the handles can be closed (without damage to the skin) and open, if the skin is damaged. Signs of a fracture є: local soreness, which can be felt in a vice along the axis; deformation of the picture; pathological rupture (wrinkle of the brush posture of the slope); the destruction of the function of the movie.

First aid in case of fractures of the pole in the immobilization of the child's disease and sickness. For immobilization of vikoristovuyu standard tires (plywood, plywood) or handcrafted (planks, plywood, etc.). In case of an open fracture and the appearance of bleeding, it is necessary to apply aseptic technique to the wound. The tire needs to be modeled according to the shape of the edge (for health reasons), such a rank, that there were two dry slopes, if there were two slopes, and in case of a collapse of a step, there were three slopes, To relieve pain, dead tissue in the heart of the cyst, put cotton wool on the tire.

Dolikarska dopoga in case of blows and extensions

In the slopes, the sound of the rings and the opening of the sudin are raised. The area of the slope is swollen, through the blue skin the blue will shine through. The wounded mice is painful on palpation і, especially in Rusі; Tim is not mensh, be patient, do not marvel at stretching out in the slopes, you can oversaturated.

Persha is helping. First for everything, injuries to the corner are necessary to immobilize; for a family with a small puffiness, you can use an elastic bandage. Yaksho є ridina Burov, then її can be victorious for preparing a compress. So yak the drug will change the plump. If anything is stretched, it is necessary to turn for help to the doctor, so as with such a problem, the tricky part of the brush does not occur.

Dolikarska dopoga at the ear of the ridge

at interruption spinal cord the insistence of the loss of sensitivity and parallel to the lower viddil tulub, the insistence of the reception of the slaughter and feces.

First aid-in case of trauma of the ridge polyagaє in the correct transport of the patient to the lykarnya. Take and shift on the burden of the injured person, so that you do not suffer from overgrowing and change of ridged ridges, so as with the non-coastal rus of the cyst ulama you can change the back and damage of the spinal cord injury.

The patient is guilty of lying on a solid area, he cannot be turned or brought in a sitting position. For the postponed, it is more beautiful to wear a stretcher, to sew the flooring from Kramer's veneer or metal descent tires to the cloth for rigidity. The tires are prikrivayut fold udvіchі carpet. When the patient's bedding is hard, put the patient on the wearer with his stomach down.

Shift the sufferer onto the load, pushing the board in front of the front. There are three people in the extreme fall of the sick.

Dolikarska dopoga in case of detections and frostbite

When opikas I stage - to be amazed by the very top ball of the shkiri, characterized by the heart of the shkiri, by the bulge and by the pain.

Opik stage II - to be characterized by the statements of pukhirіv, reminiscent of the glimpse of the zhovtuvaya rіdinoyu.

opikas III stage subscribe to groups A and B.

When opikas IIIA stage the insistence is not entirely deadened in vasne shkiri for the preservation of the sprout zones.

When opikas ІІІB step shkіra urazhaєtsya for the entire depth.

Opik stage IV - Vinnikє when pouring on the fabric at even higher temperatures. Tse nayvazhcha form of opiku, when yak_y pozhkodzhutsya shkіra, m'yazi, tendon, kistki and іn.

Persha dopoga the guilty buty is straightforward to the inflow of the high temperature on the patient.

The burnt part of the house needs to be placed for 10-15 minutes before the cold water flows, wrapped in a towel, soaked near the water of the river, the area with ice or ice. However, at great area Opikka overwhelmingly cold is not safe through the power of the heart.

In the cold season, the fate of the need is podbati about the warming of the burned out. Part of the odyag has become overwhelmed, as it is dry and not smoldering, it is not necessary to know. Odyag sticks not to grow, but to form around.

Opikov_ surfaces are covered with an aseptic bandage, and when the dressing bags are open, a clean towel, spread, a nosepiece, like soaked with alcohol or cologne.

Provide the mice not to be covered with fat, oil, petroleum jelly, grated cartopley, but it’s stashed as something homemade. The deserted shkіru is not too varied with a pot of potassium permanganate, brilliant green and іnіshy аnіlіnovy barvniki, so as the stench, zmіnyuchi zaparvlennya shkіri, nasty raznayut glibini opіka.

The need, suffering with great opiq, should be burnt into the warmth and warmth. To relieve pain, you can drink a bottle of wine, or diluted alcohol (you need to contact the medical staff). It’s a possibility, a requirement to introduce zesty-morphine, pantopon or promedol, to give hot tea, and even more beautifully than salt-alkali madness, which is a difference, it’s worth taking 1 teaspoon kitchen salt 1/2 teaspoon of drinking soda for 1 liter of water.

Frost-freezing is an increase in the tissues of the body under the injecting cold.

In case of frostbite of the 1st stage, cold appears, then pokryuvannya and oven. Ice-cream is a little bit sensitive, filling a white color.

In case of frostbite of the 2nd stage, krym signs characteristic of frostbite of the 1st stage, until the end of 1 ... 2 dib, there is puffiness, reminiscent of the insight of the age.

Freezing of the 3rd stage is characterized by the deadened shkiri.

Ice-cream of the 4th step is the deadness of soft fabrics and brushes.

In case of frostbite of the 1st stage of the special treatment, it is not necessary, enough of the frostbite should be rubbed with a hand or a soft cloth. I will freeze the cake and put it into warm water, which will increase the temperature from 20 to 40 ° C for a period of two years. In case of frostbite 2 ... 4 steps, an aseptic bandage should be applied to the urazhene dilyanka. Zigrivannya to reach wrap-ups or for an additional grilka, for those who have the patience to go to the stage of getting help.

In the case of overcooling, the temperature drops significantly. Signs of overcooling - melancholy, hopefulness of moving and ruffling, that it is superfluous to be trembling and sleepy. The victim should be brought in the warmth of the environment, if possible, put into the bath, the water temperature in 20 ... 30 min. From 25 to 40 ° С. When you have the opportunity to give warm liquorice, drink and alcohol.

Scoring a head is an injury, as it is often found in bogus crazy minds. At the first glance, you should be given up to finish the simple, or everything can be found on the way to a serious level. The head is not safe to cry in the fact that the hammering of the soft tissues of the head is a trauma of the closed type, with such shkіrnі it is not covered. One of the best ways to promote and improve the integrity of the school. Anyone who suffers from such problems often encounters other injuries - a fracture of the skull, a chill to the brain, which can be a mother's inheritance.

It is not safe to cry and in the ability to establish a great hematoma. You will have to fix a serious grip on the brain, but as a result, you can lead to non-transferable inheritances, including important brain damage. Tom consultations with fahivtsya i correct lіkuvannya superbly important.

Classification

The head of a small part, which allows the classification of trauma:

Hammer the chola.
Forget the potency.
Forget the skron.
Poshkojennya tіm'yanoi part, crypt or the base of the skull.

A large number of vipadkiv have a lot of tilting or frontal parts. Trauma of the thyme area is more likely to be spared. Shkokojennya skronevoy part vіdbuvaєtsya nayrіdshe. Naybіlsh rіdkіsnі and one-hour folding fall, if spontaneously it is more expensive, as I hunt for a head part.

Regularly from the level of severity of injury, it is classified as follows:

Light injury.
Shooting from the ruins of the integrity of the school.
Cracked injuries.
Skull and brain cuts.

ICD injury code 10

For the international classification of ailment MKH 10, the classifier code should be included in S00-S09. The specific classifier is to be found in the level of gravity of the ear. Code S00 - superficial, which do not include contusions of the brain, depletion of the internal pits and on the face.

The head wound appears to be carried up to S01, - S02. Any unspecified wounds of the scalp are referred to the classifier S09.

cause

Scoring a head in a child and an older child can be due to other reasons. Most often there is a head injury in case of fall. Ale і see і і і і і і і і і іn thе causes of scored wounds in the grown-ups:

Impact with a blunt object.
Pobutova bijka.
Every hour of sporting events and trenuvan.
It's an hour to fight any single combats.
In the process of labor activity.
Through an accident.

Kill the chola, the head part of the child's head, you will be able to see it when falling, thorny obstructed objects, or in the process of active mountains. In a newly born nemovlya, it is difficult to see through lack of sight of grown-ups. Most often, the baby can be given a cup of tea, if it is put on the changing steel. An active little guy can fall vipadkovo and hit his forehead, on the other hand, scrambled from the sofa, vipavi from the stroller. It is not possible, the little ones will bully without a look, as it is not possible to hit the tilting area, bumps on the forehead and injury to the type.

symptoms

Hammer the soft fabrics of the head; complex treatment fakhivtsem. It will stop without any symptoms of symptoms, and then, in your own heart, it will begin with the appearance of injuries and a stage of development.

The main signs are:

Bolovі vіdchuttya. The reason is the spasm of the sudin.
A bruise or bruise appears on the head after a blow.
Bleeding from nose.
Increased temperature for a non-trivial period of the hour.
Seeing weakness in the hands.
As a result of a blow to the head, a child or an over-grown child may develop a tediousness and bloat.
Zamorochennya.
Dimness in the head without losing evidence.
Potential loss of privacy, obscurity.
Destruction of the ruch.
Sinets, a lump of pretense.
Reducing the grip.

A lot of people vvazayut, so the bump from the blow will pass by itself, ignore the introduction of fahivtsya. Tse to produce before the appearance of serious heritage, including hallucinations, waste of memory. Lyudin can hear a bit of voice, and so much more and more signs appear. Frequent symptoms of slaughter of soft tissues are called bile, bumps and bruises. When they appear, they will promptly call for advice from the fahivtsya.

Persha dopoga

heads of older adults and children - the possibility of becoming more rapid. However, it is necessary to know everything correctly, so that people are not naughty. Otzhe, additional help when the head is hit, the transfer is the offensive:

Put a bandage on your head. Vaughn allows for the appearance of hematomas.
Apply. The bagatokh wine has a nourishment, but the cold is not more than 10-15 minutes. Then, with a stretch of the first, finish the slid systematically repeat the procedure for the nobility most of the views and the growth of hematomas.
When explicit oncritical wounds an antiseptic treatment should be carried out for additional peroxide water or chlorhexidine, bleeding will stop. You can not koristuvatisya green or iodine.

Remember, when children hit their heads, help them as quickly as possible. Do not bark the baby, more beautiful than the calmness of the baby and to spend the whole time a mess of neatness in the game process.

When you hit your head

It is important for people to know how to rob when they hit the head. simple rules help change the bill and accept the accelerated money. Spotshatku nadatsya persha can be helped by a blow to the head of an overweight child. Let the patient walk to medical mortgage for diagnostics, diagnostics and a sign of competent treatment. Further we recommend the following dates:

With a sweep of the first, finish off the slid and repeat the crying compress. Yogo sootten up to 10 khvili skin 2-3 years. Tse allow to change bіl, uniknuti appear great sinzіv cold compress be applied before the traumatized dіlyanka without a strong vice.
With a strong blow to the head, you will get a headache and not go away. Todi can be vipiti. It is important to be reasonable, if it is obvious pediatric hemorrhage not allowed to drink aspirin. There is a lack of power to burn blood, as a result of which a hematoma grows.
After 2-3 days, you can check the program, warm lotions, grits or compress. Tse pryaє to a swollen swelling. At the first day of progr_v is not permissible, for that є the development of the ignition process.
Yakshcho a little skorinochka appeared on the sadna, not a good one. Є Imovirnist, how to get rid of the scar.
Schwid trauma has ceased to be turbuvati, it is possible to vikoristovuvati gels, creams and ointments. Naykrashche uzgoditi tse z lykarem. sucking such medications also victories

Diagnostics and treatment

A strong blow to the head of the gearbox - it is generally necessary to register before the fakhivtsya for the passage of the gearing. It is very important when it comes to scruffy, tim'yanoy, frontal and tiled parts... As a result, a growing number of diagnoses can be made, for example, to the brain. Bagatokh hvilyuє nutrition, with some traumas before any drug goes to animals. Diagnostics and treatment are carried out by a traumatologist, as well as consultation of a neuropathologist.

Prior to the main methods of diagnostics, include:

X-ray. Vaughn allows you to punch, and to destroy the integrity of the cranial bones
Magnetic resonance imaging, which allows the assessment of the structure of the brain and the glybin of the hematoma.
X-ray shyny viddilu ridge. Wine is necessary in quiet areas, if there is a large number of ridges.

Likuvannya invoke two methods - conservative and operative. Specific pidbiraє likar. The operative method of detecting indications in quiet drops, if the internal diameter of the hematoma is 4 cm, and also in case of severely rotated internal cranial hypertension, as the change of cerebral structures is 5 mm. conservatively primed on priznachennі fahіvets sechogіnnyh lіkіv, protisudomnyh pills, infusion and acid therapy, as well as taking antihypoxants.

In the middle of medication, there may be signs of onset:

Preparations that normalize the functioning of the autonomic nervous system.
Analgesics.
Snodiynі.
Nootropic drugs that normalize the brain of the robot. The stench priznachayutsya zazvychay in the quality of prophylactic.

For the improvement of the reduction of hematomas and diseases, it is recommended to recommend vikoristovuvati gels, creams, ointments from blows. At the same time, if you clean up a hematoma on your forehead, then for the next day: I will add cold to 10 khvili khvili kіlka years, add a program to a friend, and also fix a patchwork of special ointments.

Yak likuvati scoring heads

Pereymayuchis nourishment, like lіkuvati scored heads, it is important to reason, so the process of lying down at the stage of the gravity of the ear. tsilkom mozhlivo, as tse lighter ushkogennya. Most often it will be built before the offensive:

For the first time, the patient is recommended to stay in bed. It’s worth getting up only when you need it.
In case of localization of injuries on the right, you should be able to stand on the front of the boat and navpaki.
Importantly at the closest of business physical options... Yakshcho tse zrobiti is ill-fated, it is varto cut around їkh.
In the last period, it’s just a little bit of a TV viewer and a robot at a computer.
It is necessary in 2-3 days for injuries to spend more than an hour on a new one.
Follow the recommendations of the doctor exactly.

Dodatkovo it is possible to speed up the folk tricks, as you want to help speed up the process of dressing up. Among the recipes, see the steps:

Salt 3%... Have a child snake natural fabrics and keep them for 4-5 years in the freezer. Before applying to the compress, the fabrics snake at the water for the preparation. The procedure is trivial - up to 10 quilins.
Warehouse with iodine and alcohol... Alcohol can be replaced with a bitter. Ingredієnti fluctuate in equal proportions. In the out-of-stock warehouse, cover the fabric and apply it to the point of delivery.
Crystalline camphor and water... The warehouse includes 10 grams of camphor and a glass of water. The tension is carried out at room temperature, at which periodically it is recommended to strike with it. Zastosuvannya can only be used again. At the warehouse, sniff fabrics and apply up to 60 khvili up to the smallest blow.
Murphy's starch... Yogo zmіshuyut with water until I become porridge. Put it on to the injured area.

Deyaki vikoristovuyut and more non-standard methods of treatment, for example, p'avok. Until the cob is stuck people's efforts the best consultations with a fakhivtsa, are not naughty.

Storage and inheritance

Kill the headliner, for be-like the one part of the head, you can seryoznі inheritance... The stench is spared when strong blows, Wrong or unfortunate additional help to the fakhivtsiv. Before most often it is seen to include:

Depressive stays.
Pogershennya pracezdatnosti. The main reason for this is asthenia.
Unwillingness to concentrate and respect.
Sleeplessness is frequent.
Problems from the memory of information.
Gostra reaction to organism for a change of time.
Draft adjustment.
Parts of migraines and headaches.

It is important to think that the traces of a blow may appear not all at once, but after a couple of months or months. In general, it is not safe to shrug against the blow of the frontal, temporal, tilting and skirting parts.

It is much easier to trim the scores of the heads. In bagatioh vipadkah, the injury is mild. However, if I would like to have one symptom, I’ll be on my guard, I’ll be on the lookout for help.

Chanovny readers to the 1MedHelp site, if you have lost food on these topics because of the radio on them. Sign up your tips, comments, share stories as you survived some trauma and successfully fit in with the inheritance! Your life can be seen in our readers.

First aid for wounds of soft tissues heads guilty buty was straight on the bleeding spot. For this, the bones of the skull are covered with soft fabrics, in the most beautiful way Timchasovoy zupinki bleeding є Applying a bandage to press. Inodi can be zupiny to the fingertips of the artery shell, Zovnishnioi slit - at the lower edge of the lower slit, 1-2 cm from the kuta). If the head is wounded, the most serious problem is that it is not easy to immediately see the brain damage (scabbard, hammering, depression). First help with such a wounded one - push the wounded horizontally, put it calmly, put the cold to the head and organize the negativity in the hospital.

penetrating injury breast cancer It is highly sensitive to them, but they can have a heart, aorta, legends and life's important organisms, injuring those who lead to an important and sharp death. Penetrating wounds to the breast and without making life to important organs a great security for life. There was a reason why, when injured in the pleural empty space, it penetrates and develops into a pneumothorax. As a result, the lungs decrease, the heart and the healthy lung are pressed down, and an important stagnation develops - pleuropulmonary shock.

The one who will give the help of the nobility is guilty of the nobility, more tightly closing such a wound can get ahead of the development of this dangerous slowing down or change it. Close up the chest wound it is possible behind the aid of a sticky plaster, which can be applied to the roof tiles. When there is no plastering, the wound should be closed with a gummed-up piece of the individual package and tightly bandaged. You can apply an occlusive bandage behind an additional gauze, thickly leaked with vaseline, glue, anti-penetrating pouches and іn. Necessary calls. wounded is needed in a sitting position.

abdominal injury (Black wounds) superbly not safe: small wounds can be penetrating, when there is a lot of empty organs. It is very difficult for oneself to be overly dangerous, as it avoids a non-secret operation: internal bleeding and vitiating through the intestines into the empty bowel with further development of the gnarly (fecal) burning of the bowel (Peritonitis).

When given the first help, the wound of the anterior cranial wall is clotted according to the rules of the closure of wounds. In case of great wounds through the opening in the chern_stіntsі can vipadati organ black empty(Event) Such a wound is also to blame, but it is closed with an aseptic bandage.
Vipali organi cannot be driven into the empty cell - tse privede to peritonitis.
When filing the shkiri near the wound on the organ, they put a sterile gauze on top of the gauze and from the sides of the organs - a ball of cotton wool and all the way around it with a circular bandage bandage. You can close it with a towel, stretch it, sewing on the edge with a thread. At the injured from the event of organs of the black empty, shock develops very quickly, so you need to go in, if you are introduced through the mouth.

If you have any wounds in your life, you can bring it to the end. internal organs, Zaboronyaєtsya the patient year, take it, give it through the mouth of the leakey. With penetrating wounds of the intestine, I will accelerate the development of peritonitis.

The wounded live need to lie down with the raised upper part of the tulub and the legs bent in the knees. Such a camp is changing bіl and in advance of the broadening of the ignition process in the stomach.

The peculiarities of the soft tissue of the head are directly caused by the force of the mechanical injection, and also to injure the flat contact with an object and the curvature of the head. M'yak_ fabrics and heads take revenge on the ball of balls: - shk_ru (Skin), ball with good fabrics(Textus Cormecti-vus), aponeurosis (Aponeurosis), a ball of non-permanent tissue (Loose connectiv tissue) and an edge (Pericranium). The abbreviation of the cob letters of the name of the tsikh sharіv gives the abbreviation of the soft tissues of the head - "SCALP". The first three balls of the scalp are sculpted one to one, and around the last surface of the cyst.

The severity of scalp injuries, it starts with an area and lumps of scalp, variably in wide fringes - from the superficial ears (sadden) to great wounds with edged soft tissues from all hairy parts of the head (scalped wounds).

hitі scalp saddle - the most frequent part of the head injury, characterized by a swelling of soft tissues in the area of impact and / or a dermal ball of the skin. As a matter of fact, it’s not a bit of a problem, there’s a bunch of people being seen and being held. Great garden chola can lead to cosmetic defects. The main important meaning is the shock and shock - at the time of the shock, in the most important zone in the children in the greater number of cases, the cysts of the skull and the internal brain diseases (hemorrhagic diseases) grow.

scalp hematomas- surrounded by extracranial blood, which is caused by injuries and is characterized by high blood pressure and cyanosis in the area of hematoma. Development of hematomas of the head, subaponeurotic and periosteal hematomas.

Hematomas of the head shkіri є Hemorrhagic ridging of the head shkіri, is more common in newborns and is caused as a result of the infringement of the fetal head segment in the birth canal (caput saccedaneum, head cracked). Localization is the star of the head. The nabryak pass independently through the circle of days.

Pidaponeurotic hematoma - the purchase of blood in the space between the aponeurosis and okisti. I will look around in a short time until the end of two balls great roses and expand beyond the boundaries of one register. It is important for the localization in the frontal area. Naybilsha nebezpeka cich hematomas is associated with a syndrome of gross blood loss in nemovlyat. With great hematomas, children are hospitalized. To control the significance of blood loss, re-start hemoglobin and hematocrit, undergo craniography and ultrasonography, and in case of pathology (fractures of the cranial cysts, traumatic internal, necessary details) surgical treatment ci hematomas do not linger, only hematomas do not heal.

Periosteal hematomas (PG) represent the purchase of blood between the oysters and the cyst, and the cordon of the hematomas is precisely directed to the edges of the cyst and even broadens evenly over the edge of the cyst. It should be explained that in the case of the cranial cysts (in the area of the seams), the cranial area is further extended to the dura mater and the potential subperiosteal space is neatly surrounded by cranial sutures that drain the cyst. The PG tends to appeal to newborns and children up to 1 rock, growing more importantly over the temporal and, growing, over the frontal brush at the sight of stressed swelling. In case of non-releasing PG, it is not enough to demand to be spontaneous only in spontaneity, some hematoma may become wet spontaneously for 1-2 ms. At small vypadki on the periphery of the PG a vuzka plate of petrification is formed (stage "yєchnoi shkaralupi"). On the other hand, the diagnosis of hematoma with a larger swiveling asymmetry of the head. After 2-5 years of asymmetry, start to smooth out or even less need for cosmetic surgery. In some cases, if the hematomas are old, and if the hematomas change step by step, a fissure roller is palpable along the perimeter of the hematoma, so that the feud is revealed in the

Clinical Criteria for Traumatic Brain Injuries

lonely fracture. X-ray of the skull in 2 projections is performed for the first time. However, the perevag in qih vipadkah is maddeningly followed by US-craniography.

Skull fractures appear in 10-25% of children with PH, which can cause supravascular extravasation, as well as intracranial bleeding, forming a "lumpy-epidural hematoma". For those children with adolescent hematoma, it is necessary to carry out US with an assessment of the intracranial stump and the integrity of the cranial cysts in the area of the hematoma.

Victory superheroes the need for punctual vision of the great PGs, as they do not lose their tendencies until they are overshadowed. We are more proud to punctuate the letter for the release of blood clots (on the 10-12th day of the day). Such a tactic is dictated by the risk of infirmity, the diagnosis of severe cyst growth (traumatic osteitis) or fibrous degeneration (fibrous osteitis) with the gradual build-up of local viperitis. Specific features of the technique of conducting the punctuation of PG in the past (div. Rozdil "Childbirth head injury"),

In Pidaponeurotic or subperiosteal expanses, one can accumulate not only shelter, but also CSR. In chicks, swelling is not a bluish color and does not appear immediately due to injuries (such as a hematoma), but heals in 1-3 dB. The price of extracranial gigroms, serious injury It is not only the scalp and / or the cranial cysts, but the opening of the solid and arachnoid membrane of the brain with the finished liquor in the tissue of the head. Such children go for hospitalization, refinement of the cranial cysts (X-ray of the skull, US-craniography) and the inclusion of internal cranial shell-purchase (US, CT). In most cases, the eccranial licenses of the purchases know independently in the course of 1-2 types. In small cases, a tighter bandage of the head is necessary. Evidence of a linear fracture from extracranial hygroma in a repeated US-craniography for a developmental fracture (div. Nizhche).

scalp wound- mechanical processing of soft tissues of the cerebral skull, which is supervised by the deterioration of the integrity of the brain. Glibina pooshkojennya scalpa maє more important in the characteristics of injuries (from the criterion or the closed). Until the critical period, TBI symptoms are reported, which are supervised by wounds, which include training

aponeurosis. In addition, before a severe TBI, there is also a problem that occurs when there is a problem. Injury occurs in 16.5% of cases.

Behind the mechanism of the pockening of the wound, it is necessary to go into: pricks, stabs, hacks, torns, hammered, rots, bites, in the fire. Behind the shape - line, part, part, valve, scalped. There is a slid of the sight of a wound aliens) I іnfіkovanі (wounds with ob'ktivnymi signs fired).

Particularly, the bloodletting of the head is those that go to close to 20% of the heart vikidu before it, and the scalp may cause anastomoses without any problems. Bleeding from scalp wounds can be massive.

The main care for the treatment of scalp wounds: a) hemostasis; b) assessment of the cranial bones; c) the visualization of scalp raztroshennyh dalyanok; d) suturing wounds without tension її regions; e) antibacterial therapy; f) prevention of government.

I will look at the generosity of scalp blood flow in children and their particular sensitivity to blood loss, it is necessary in the early stages to prevent hemostasis (to press, compression of the edges of the wound in the area of judgment, to bleed, etc.). Optimal treatment of wounds є early (lasting the first 24 years with injuries) is the primary surgical treatment with residual hemostasis, visible necrotic regions and sutures. Two balls in children will be sewn up the wound only in the area of the chola, for the children of the school need to take the yakomog earlier. When there is a whole lot of money on the aponeurosis, people who are not farmed with material are imposed on them; Most of the wounds are affected by muscle anesthesia. For the great scalp junkies, anesthesia is applied to the scalp.

In the current minds of immunization in children, up to 10 years of age, an adequate supporter of the government. In older children, with healed wounds, splitting is necessary. Antibiotics are recognized only in case of obstructed and bitten wounds.

Obstruction of scalp wounds vimagayut podglyadnya feed about the second line of text. Take a bite, beset by creatures and people or wounds. In cich situations, the wound of bagatoraz is crushed for 48 years and after sufficient cleaning (bacterial index is less, less than 10 5 gram of tissue), the wound is sutured.

Traumatic brain injury in children

Scalp scaling with tissue defect vimagayut mobilization of a fragment of the scalp, which does not have hair. The basic principle of this is as follows:

in case of tissue mobility, it is necessary to provide cosmetic inheritance;

if you can, you can mobilize scalp doughs in the hair growth zone;

shkіrny klapot becomes mobile when the scalp grows to the outside and the squads are guilty but they are also on the outside;

we are especially important є preserving good blood circulation in the movement of the valve (if the great valve is changed, the great vessel is guilty of revenge);

The preparation of electrocoagulation can be carried out up to the reduction of hair cybulins and local area.

Early with minor defects of the scalp zvichy to protrude without pratsі zakryti. In case of more important ears, the main method is to stretch, change and rotate the valve, as well as increase the fabric.

The opening of the valve is effective when the tissue is removed from the opening of the scalp valve. It is necessary to remove the scalp clap and the damage to the scalp clap internal side klaptya, rosіkayuchi only aponeurosis. Products, razr_zi are guilty but are parallel to the base of the valve. For such "internal laxative razrіzіv" the size of the valve can be improved, which will prevent the closure of the defect.

The reshuffle and rotation of the valve will work to form laxative dislocations parallel to the edges of the wound from one or both sides. Subgaleal mobilization of the scalp in the area of injury and closeness to the defect with a slight interference of the edges of the school.

In case of great defects of the scalp, with the greatest possibilities, the method of increasing the tissue, which has destroyed the revolution in the reconstructive surgery of the scalp. On the side of the wound, a subgaleal colon is formed and a silikon prosthesis is placed in the new one, which will gradually grow. This method will secure the removal of the nasolayer valve with good vascularization and hairline. With such a technique, drawing the decalcous months into the normal scalp can be enlarged to fit into the normal scalp.

Surgery for large scalp defects due to the failure of valve rotation, transplantation of the skin, or the method of tissue extension, should be carried out with the participation of plastic surgery. tse

will provide a significantly greater cosmetic effect of reconstructive surgery.