Rib fracture resulting in pulmonary contusion can be treated conservatively, surgically and symptomatically depending on the specific injury.
If the pain of rib fracture is not obvious, the lung contusion is not serious, and it is not accompanied by misalignment of ribs or pleural effusion, pneumothorax, etc., it can be treated conservatively with external fixation of chest belt and symptomatic treatment, such as Panax ginseng to reduce swelling, diclofenac sodium to relieve pain, cefuroxime to fight infection, and aminoglutethimide to dispel phlegm, etc. Symptomatic treatment can be provided.
When the rib fracture pain is obvious, and with obvious rib misalignment, serious lung contusion, with a large amount of pleural effusion or pneumothorax, urgent surgical treatment is needed to remove the blood in the chest cavity, find the bleeding site of lung contusion, repair the wound to stop bleeding, and carry out internal fixation of the rib fracture as appropriate. For patients with severe anemia or shock, antishock, blood transfusion and other symptomatic treatment.
If the lung contusion is not serious, there is no obvious pleural effusion or pneumothorax, and the rib fracture misalignment is obvious, the rib fracture can be cut and repositioned with internal fixation after active symptomatic treatment. For the site of pulmonary contusion, temporary observation can be performed without open chest exploration.
Rib fracture and lung contusion, it is recommended to seek timely medical treatment, standardized treatment, drugs need to be used under the guidance of a professional doctor.