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1案例资料1.1简要案情及病历资料某男,12岁。因车祸受伤后腹痛、腰痛、恶心呕吐,至某医院急诊住院治疗。查体:血压测不清。神志淡漠,心率130次/min,律整。下腹部隆起,表面淤斑、压痛,轻度肌紧张,腰部两处淤斑隆起,约10cm×10cm,明显触痛;阴囊肿胀、淤斑;骨盆挤压试验阳性。骨盆平片:耻骨联合分离移位。诊断:腹部闭合性损伤、耻骨联合分离、创伤失血性休克。入院后经
1 case information 1.1 brief case and medical record information A male, 12 years old. After a car accident after abdominal pain, back pain, nausea and vomiting, to a hospital emergency hospitalization. Physical examination: blood pressure test is not clear. Conscious indifference, heart rate 130 times / min, law and order. Lower abdomen bulge, surface ecchymosis, tenderness, mild muscle tension, lumbar ecchymosis, about 10cm × 10cm, obvious tenderness; scrotum swelling, ecchymosis; pelvic compression test was positive. Pelvic plain film: pubic symphysis separation shift. Diagnosis: Abdominal closed injury, symphysis pubis, traumatic hemorrhagic shock. After admission