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челнах","retina":false,"avatarId":"0","isMacOS":false,"brand":"alice-ru","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Перелом: что это?","markdown":"**Перелом** — это полное или частичное нарушение целостности кости, вызванное воздействием силы, превышающей её прочностные характеристики, или ослаблением костной ткани в результате патологического процесса [2](https://neuron00.ru/perelomyi.html). Переломы могут сопровождаться повреждением окружающих мягких тканей (мышц, связок, сосудов, нервов) и нарушением функции повреждённого сегмента [2](https://neuron00.ru/perelomyi.html).\n\n\n\n## Виды\nНекоторые виды переломов: \n* **По причине возникновения** [2](https://neuron00.ru/perelomyi.html): \n - **Травматические** — из-за внешнего воздействия (удар, падение, сдавление) [2](https://neuron00.ru/perelomyi.html). \n - **Патологические** — возникают при незначительной травме или даже спонтанно на фоне заболеваний, ослабляющих костную ткань (например, остеопороз, опухоли костей) [2](https://neuron00.ru/perelomyi.html). \n - **Стрессовые (усталостные)** — возникают в результате повторяющихся, чрезмерных нагрузок на кость, которые сами по себе не вызывают перелома, но со временем приводят к микроповреждениям и затем к перелому (часто встречаются у спортсменов) [2](https://neuron00.ru/perelomyi.html). \n* **По нарушению целостности кожных покровов** [2](https://neuron00.ru/perelomyi.html): \n - **Закрытые** — кожные покровы над местом перелома не повреждены [2](https://neuron00.ru/perelomyi.html). \n - **Открытые** — нарушена целостность кожных покровов, и место перелома сообщается с внешней средой через рану [2](https://neuron00.ru/perelomyi.html).\n\n## Симптомы\nНекоторые симптомы перелома: \n* **Боль** — острая, интенсивная, усиливается при движении [9](https://topzdrav.ru/blog/priznaki-pereloma-kostej)[13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/). \n* **Деформация** — изменение формы конечности, неестественное положение костей, видимое искривление или укорочение [13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/). \n* **Отёк** — припухлость и отёчность вокруг места перелома [13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/). \n* **Кровоподтек (гематома)** — появление синяка или кровоизлияния в мягкие ткани вокруг места травмы [13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/). \n* **Потеря функции** — невозможность двигать повреждённой конечностью, ограничение подвижности [13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/).\n\n## Первая помощь\nПри подозрении на перелом необходимо немедленно обратиться за медицинской помощью [2](https://neuron00.ru/perelomyi.html). Некоторые действия: \n* **Иммобилизация** — фиксация повреждённой конечности в неподвижном положении, чтобы предотвратить смещение костных обломков [13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/). Для иммобилизации используют подручные средства: доски, фанерные листы, ветки, сложенные вместе газеты, повязки [13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/). \n* **Контроль кровотечения** — при открытом переломе (кость проникает через кожу) необходимо остановить кровотечение: наложить стерильную повязку, при необходимости использовать жгут (не более чем на 1,5–2 часа) [13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/). \n\n**Чего нельзя делать**: самостоятельно вправлять кости, трогать и перемещать костные обломки, давать пострадавшему питьё и еду [13](https://dialrapid.ru/journal/pamyatka-pervaya-pomosch-pri-perelomakh/).\n\n## Лечение\nЛечение зависит от типа, степени тяжести и локализации перелома [1](https://www.Sportmaster.ru/media/articles/perelom-kak-okazat-pervuyu-pomoshch-i-otlichit-ot-ushiba/). Некоторые методы: \n* **Консервативное лечение** — применяется при закрытых переломах без смещения: накладывают гипс, шину или эластичный бинт [17](https://medgarant.perm.ru/recommends/2025/02/9489/). \n* **Хирургическое лечение** — при открытых переломах или переломах со смещением может потребоваться операция (остеосинтез) — установка металлических пластин, винтов или спиц для фиксации отломков кости [17](https://medgarant.perm.ru/recommends/2025/02/9489/). \n\n**Важно следовать рекомендациям врача**: регулярно посещать врача для контроля за процессом заживления, соблюдать режим покоя и ограничения нагрузок на повреждённую конечность, принимать необходимые медикаменты (если назначены) [17](https://medgarant.perm.ru/recommends/2025/02/9489/).","linksData":[{"sourceId":1,"url":"https://www.Sportmaster.ru/media/articles/perelom-kak-okazat-pervuyu-pomoshch-i-otlichit-ot-ushiba/","shownUrl":"https://www.Sportmaster.ru/media/articles/perelom-kak-okazat-pervuyu-pomoshch-i-otlichit-ot-ushiba/","title":"Перелом или ушиб: как отличить травмы и оказать первую помощь","shortUrl":"Sportmaster.ru","isTranslated":false,"description":"","greenUrl":"Sportmaster.ru"},{"sourceId":2,"url":"https://neuron00.ru/perelomyi.html","shownUrl":"https://neuron00.ru/perelomyi.html","title":"Переломы: причины, диагностика и эффективное лечение в Нижнем Новгороде | Медицинский центр","shortUrl":"neuron00.ru","isTranslated":false,"description":"","greenUrl":"neuron00.ru"},{"sourceId":3,"url":"https://vitaclinica.ru/zabolevaniya/perelom/","shownUrl":"https://vitaclinica.ru/zabolevaniya/perelom/","title":"Переломы – классификация, симптомы и этапы заживления костей | Медицинский центр Вита","shortUrl":"vitaclinica.ru","isTranslated":false,"description":"","greenUrl":"vitaclinica.ru"},{"sourceId":4,"url":"https://www.invitro.ru/library/bolezni/30561/","shownUrl":"https://www.invitro.ru/library/bolezni/30561/","title":"Перелом кости - причины появления, симптомы заболевания, диагностика и способы лечения","shortUrl":"invitro.ru","isTranslated":false,"description":"","greenUrl":"invitro.ru"},{"sourceId":5,"url":"https://www.mediccity.ru/directions/486","shownUrl":"https://www.mediccity.ru/directions/486","title":"Переломы. 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