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Explanation of analyzes

I hurt my chest, what should I do? Symptoms, treatment, differences from fracture

The thorax is a powerful bone structure from the ribs, sternum and vertebrae, protecting from damage to the heart, lungs, vessels, and also participating in the process of breathing.

The most common injury of the chest is a bruise. A bruise means damage to tissues that occurs as a result of contact with a blunt solid object and is not accompanied by a violation of the integrity of the skin (there is no blood).

Most often, chest injuries of a superficial nature occur as a result of road accidents, in fights and when falling from a height to solid objects.
The bruise of the chest in ICD-10 was included in an extensive section called "Superficial injury of the chest" under code S20.


Than a bruise chest injury for a woman?

Bruised chest

When trauma blunt hard objects on the surface of the skin changes are minimal, more often it is a swelling and bruising. But internal organs can seriously (or not) suffer. Severe bruise of the chest can be accompanied by fractures of the ribs and damage to the lungs, pleura, vessels and nerves with fragments or sharp edges.

Depending on the location of the impact, the following damages occur, which endanger the life and health of the woman:

  1. If the chest is bruised to the left, the shock can come to the heart area and provoke a stop. Death with a bruised heart can come instantly.
  2. The contusion of the thorax to the right is less dangerous, but with a strong impact, the tissues of the lungs, pleura, and large vessels may suffer.
  3. Trauma from the back may damage the spine and nerve trunks that come from it. Depending on the level of damage and the strength of the impact, there may be disruptions in movement, up to paralysis.
  4. Dangerous to women are traumas that fall on the area of ​​the mammary glands. First, it is a very painful injury, since the mammary gland is very well innervated. Secondly, contusions of the mammary glands are a danger to health in the future.

So the hematomas formed in the gland can be inflated with the formation of abscesses. Sometimes the hematoma is necrotic (dying) and replaced by a rough connective tissue. The site sinks, a deformation is formed at the site of damage, which spoils the aesthetic appearance of the mammary gland.

Although beauty is an important aspect for a woman, it is still not the worst thing. In the future, damaged tissue of the gland can be malignant, i.e. turn into a malignant tumor.

Symptoms of injury

Symptoms of a chest injury, X-ray

Symptomatology depends on the strength of the impact and the changes in the tissues as a result of trauma.

  1. In the first place, as with any injury - pain. The thorax is very rich in nervous branches, it is innervated by 12 pairs of intercostal nerves. Therefore, pain is the first symptom that makes itself felt right after the injury. Pain syndrome increases when trying to take a deep breath and when trying to move.
  2. The place of the bruise becomes swollen, changes its color. Immediately after exposure to a hard object, the skin in the place of a pink or red contusion may be abrasions if the surface of the instrument that was struck was uneven. As hemoglobin becomes transformed, the bruise changes over time from purple to yellow-green and even brown.
  3. If the vessels of larger diameter are damaged, a large amount of blood can be poured out, so that hematomas develop. In appearance, the hematoma is a section of brown or dark red color, to the touch has a jelly-like consistency. Resorption takes a long time, often requires surgery and removal of coagulated blood.

It is important to know that the trauma of the chest is characterized not only by changes in the area of ​​application of force. It is dangerous to internal injuries:

  • If the impact force was powerful, then a closed fracture of the ribs may occur. The sharp ends of the ribs, in turn, can damage the soft tissues and organs of the chest cavity. With damage to the lung and pleura tissues, subcutaneous emphysema may occur, which is characterized by the formation of air bubbles under the skin. Occurs as a result of the release of air from the ruptured alveoli of the lung tissue.
  • With pneumothorax, air accumulates between the lung and pleura. It becomes difficult to breathe, there is a strong pain in the chest on the injured side.
  • When blood is drained from the damaged lung tissue, the hemorrhoid develops into the pleural cavity. Symptomatology will develop in accordance with the amount of lost blood: pallor of the skin, drop in blood pressure, loss of consciousness.

First aid with a chest injury

The quality and timeliness of emergency care provided at the prehospital stage will help save a person's life and reduce the risk of complications. In case of a severe chest contusion, the following should be done:

  • Call the ambulance and call a brigade to the scene.
  • Do not move the injured person.
  • Lay in a comfortable position, and apply cold to the place of injury to relieve swelling and reduce pain.
  • In severe pain syndrome, give an anesthetic from the available medications in the home or car kit, the nearest pharmacy.

The long-term consequences of trauma

The long-term consequences of trauma In the absence of serious damage to the internal organs, the bruises of the chest pass without leaving a trace for several weeks. In the event that vessels, lung tissue or heart have been affected, serious medical complications may develop if there is no timely medical assistance or if the patient refuses treatment.

A bruised heart can malfunction, leading to heart failure. Increased risk of sudden death and myocardial infarction.

Pneumothorax and hemothorax should be treated only in a hospital. Absence of treatment will cause symptoms of increasing respiratory failure, which can result in a fatal outcome.

Injured soft tissues, fibrotic hematomas can provoke the growth of malignant tumors.

Treatment of a chest injury

The tactics of treatment are chosen based on the nature of the damage. Bruises, not accompanied by internal injuries, are treated out-patient.

  • On the chest, a tight bandage is applied to ensure immobility and reduce pain.
  • Painkillers: injections, ointments, pills.
  • Local treatment is carried out using anti-inflammatory ointments and gels, which reduce swelling, pain, relieve inflammation. This is a group of NSAIDs containing diclofenac, indomethacin, ibuprofen, and others.
  • To speed up the healing process, physiotherapy can be prescribed: electrophoresis, galvanization, microwave therapy and some others.

Pneumothorax, hemothorax, heart muscle trauma, rib fractures and vascular damage require hospitalization and comprehensive treatment.


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