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Instructions for blunt trauma 急診—鈍挫傷須知

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Instructions for blunt trauma 急診—鈍挫傷須知

2024/12/4

Hidden fracture

When a bone is impacted, if the fracture site is very small or the fracture line is very thin, and the bone on the impact surface is not displaced, the initial X-ray will show normal. We call it "hidden fracture". The incidence is 7 ~ 45%. After physical activity, after several days or even weeks, follow the X-rays to see the fracture more clearly.

Potential nerve, muscle, and ligament damage

Joints are composed of muscles, nerves, ligaments, and blood vessels. When joints are injured, these accessory tissues will be affected. However, during the period of joint swelling, these injuries are difficult to inspect. Usually, the swelling of the joints is relieved a few days after the injury, and further related examinations are required.

Delayed internal bleeding

When the trunk is impacted, some blood capillaries (non-arterial, venous bleeding) are not easy to be found right away, and symptoms may gradually appear after hours or days. Therefore, delayed hemothorax, intra-abdominal hemorrhage, and posterior abdominal cavity can be seen clinically Bleeding, etc., so you need to pay attention to related symptoms at any time.

If you have one of the following situations, please return to our hospital for treatment as soon as possible

  • Continuous and severe pain at the contusion.
  • Persistent joint swelling and continuous limitation of joint range of motion.
  • Abdominal distension, abdominal pain, back pain, low back pain and other symptoms worsen.
  • If you have difficulty breathing, chest tightness, pale complexion, cold sweats, and postural dizziness, please come back as soon as possible.
  • If your condition is stable, please return to the clinic for follow-up within 3 days after the injury.
  • If you have any questions after leaving the hospital, please use the emergency 24-hour consultation service phone:
  • Medical consultation telephone: (04) 22052121 ext. 15150 or 15151
  • Drug consultation telephone: (04) 22052121 ext. 15124
  • Pediatric medical consultation telephone: (04) 22052121 ext. 15158
Reference
  • 台灣急診醫學會(2018,6月15日).腹部鈍傷的決策困境:進一步檢查?觀察?可安全離院?。https://www.sem.org.tw/EJournal/Detail/43
  • 余陳瑋、張哲輔、柯朝元(2011).從延遲性外傷後腦出血探討輕度頭部外傷病人之處置.家庭醫學與基層醫療,26(10),423-428。https://doi.org/10.6965/FMPMC.201110.0423
  • 衛生福利部中央健康保險署‧頭部外傷。https://www.nhi.gov.tw/Content_List.aspx?n=375003E91D8BCA66&topn=5FE8C9 FEAE863B46
  • 衛生福利部國民健康署(2018,10月24日).生活化運動。https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=571&pid=9773
  • 衛生福利部國民健康署.肌肉拉傷、關節扭傷、脫臼及骨折。https://www.nhi.gov.tw/Content_List.aspx?n=895A87E39BFE961F&topn=5FE8C9FEAE863B46
製作單位:急症暨外傷中心急診部 編碼:HE-70020-E
若有任何疑問,請不吝與我們聯絡
電話:(04) 22052121 分機 15150
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