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Severe bruise
Last reviewed: 23.04.2024
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[What causes a severe bruise?
A severe bruise is caused by a domestic trauma - a fall, a blow, sports and industrial injuries, accidents. Like a simple, severe bruise is limited to a locally defined part of the body. As a rule, these are open and most vulnerable parts - the head, knees, elbows, back. A severe bruise is characterized by a high degree of soft tissue damage, they are traumatized extensively, often with hemorrhages and damage to the skin. Depending on what part of the body was affected, how much of the damaged part was protected and from what force there was a punch a bruise can be:
- Severe bruise of moderate severity;
- Severe bruise requiring hospitalization;
- Severe bruise with a threat to life.
The tissues of the body have different structures and different degrees of resistance to injury. Subcutaneous fat and muscle take a stroke and a strong bruise in the same way as other parts of the body, however, they are damaged much more seriously than the shells of muscles, tendons or dense collagen plates - aponeuroses.
Severe leg injury
With such damage, the vessels in the subcutaneous fat layer are injured, as a result - extensive hemorrhages (hematomas), including articular cavities (hemarthrosis). Strong bruised feet and involves damage to the bones - it cracks, fractures. Hematomas often do not resolve as if they are of moderate severity, but penetrate deep into the structure, impregnating the structure diffusely. Such hemorrhages that accompany a strong bruise accumulate and begin to develop into a connective tissue at times before ossification. Hemarthroses dissolve faster due to more active mobility of the joints, but they are also fraught with fibrotic ankylosis.
Severe head injury
As a rule, unlike simple damage, a severe head injury is accompanied by damage to the bones of the skull and is considered extremely dangerous, requiring immediate hospitalization. Actually, the danger lies not so much in the fracture of the bones, but in the fact that they damage the brain. The fracture is closed and open type with multiple wounds of skin. The most serious, representing a threat to life, is a fracture of the skull base bones. The brain is an extremely fragile and vulnerable tissue, any trauma and strong bruise accompanied by swelling. The brain, unlike other soft tissues that can swell up to the limits of the elasticity of the skin, is limited by the size of the skull. The rush of blood, unable to find a way out, causes internal hemorrhage with all the relevant consequences. A severe bruise of the head can lead to hematomas, concussion, concussion.
Concussion is a transitory phenomenon, when brain activity is partially violated.
Internal hematoma is dangerous for its development and can lead - at least to an increase in intracranial pressure, as a maximum - to a stroke and death.
Contusion is actually a brain damage, which leads to loss of consciousness, partial loss of memory, violation of neuronal conduction, edema of the brain.
Severe bruise of stomach
A severe bruise of the abdomen is accompanied by a strong characteristic pain in the area of injury. As a rule, soft tissues suffer, skin cover is less often disturbed. There may also be nausea and vomiting, often a person loses consciousness. The pulse slows down, the palpitation becomes weak, general pallor, often cyanosis (cyanosis) of the face is observed. All this can signal an internal bleeding that happens when the bowel ruptures, damages the kidneys or the spleen. If the victim does not receive timely assistance, internal hemorrhage will lead to peritonitis, inflammation of the peritoneum, possibly to death.
A severe injury is a condition requiring urgent medical attention. If you suspect a severe injury, at the first signs of concern, even if the skin is not broken and there are no external injuries, you should immediately consult a doctor, or call an ambulance. Often the account goes for minutes, so delay in the literal sense of the word threatens not so much the health of the victim as his life.