MEDICAL REHABILITATION IN PATIENT WITH LEFT HEMOTHORAX, FRACTURE LEFT CLAVICLE AND MULTIPLE FRACTRURE COSTAE CAUSE BY BLUNT TRAUMA

Abstract

Hemothorax in defined as a bleeding into pleural cavity. Hemothorax is a frequent manifestation of blunt chest trauma and also often associated with penetrating chest injury. About 60% of polytraumas are associated with thoracic trauma. The most common reason for hemothorax after penetration is direct laceration of arteries of the chest. Rib fractures are very common and are detected in at least 10% of all injured patients, the majority of which are as a consequence of blunt thoracic trauma (75%) with road traffic collisions being the main cause. Traumatic hemothorax can be due to either blunt or penetrating injury. Thoracic injuries occur in approximately 60% of all polytrauma cases and are responsible for 15–30% of all trauma mortalities. Rib fractures account for approximately 10% of all trauma admissions and are seen in up to 39% of patients sustaining blunt thoracic trauma. Immobilization and bed rest were widely used in the management of trauma and acute and chronic illness, before the physiologic effects were well understood. It was generally assumed that rest fostered healing of the affected part of the body. What was not appreciated was that immobility and inactivity could be harmful to the unaffected parts of the body. Some of the complications of immobility include orthostatic intolerance, skeletal muscle changes, joint contractures, pulmonary atelectasis, urinary stasis, glucose intolerance, and pressure ulcers.