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In a number of cases, only a deterioration in the general condition is noted. It should be borne in mind that in weakened elderly patients and patients with severe combined trauma, posttraumatic pneumonia is not always accompanied by an increase in temperature. The development of pneumonia is indicated by worsening of the general condition of the patient, symptoms of intoxication, difficulty breathing and fever. To the development of this complication, elderly and senile patients are more likely to have a pneumonia that is particularly difficult. A few days after the fracture, another dangerous complication may develop: posttraumatic pneumonia. Pneumothorax and hemothorax are complications that tend to develop soon after the symptoms of rib fractures. Damage to the lung can be accompanied by hemoptysis. Respiration on the affected side is not audible. The appearance of pneumothorax is indicated by worsening of the general condition of the patient, increasing dyspnea. If the fracture of the ribs is accompanied by subcutaneous emphysema, palpation of the subcutaneous tissue reveals crepitation of the air, which, unlike bone crepitus, resembles soft creaking. When palpation is determined diffuse sharp soreness, bone crepitation. Symptoms of fracture of the ribs are characterized by swelling of the soft tissues, bruising. The patient tries to sit still, avoiding the slightest movements. When several ribs are broken, the patient's condition worsens. Symptoms of fracture of the ribs behind are less pronounced, pulmonary ventilation disorders, as a rule, are absent. Symptoms of fracture of the ribs in front and sides are difficult to tolerate by patients, accompanied by a violation of breathing. Breathing is superficial, the chest on the side of the fracture lags behind when breathing. If the broken rib is damaged lung, identify hemoptysis, subcutaneous emphysema in the fracture.Īfter trauma, the patient can immediately point out typical symptoms of fracture of the ribs: a sharp pain in the chest, which has a tendency to increase with breathing, movement, talking, coughing, decreases at rest in a sitting position. For the same reason, breathing becomes shallow. Victims move, take off and put on clothes slowly, with fear of pain intensification. Characteristic complaints of severe pain in the place of injury, difficulty breathing - "impossible to breathe." Cough causes extreme pain.