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病人男性,51岁。因车祸致左季肋部疼痛10h于2006年5月入院。既往无特异性临床表现。查体:急性失血病容,腹稍隆,脾肋下2指,左上腹压痛阳性,脾区叩痛阳性,移动性浊音阳性。B超检查:脾破裂、脾肿大,腹腔中等量积液。腹穿抽出不凝血。诊断为外伤性脾破裂伴失血性贫血。入院后在全麻
Male patient, 51 years old. Left carotid pain due to a car accident 10h in May 2006 admitted. Past non-specific clinical manifestations. Physical examination: acute hemorrhagic disease, belly bulging, spleen ribs 2 fingers, left upper quadrant tenderness positive, spleen painful, mobile dullness positive. B-ultrasound: splenic rupture, splenomegaly, abdominal cavity median fluid. Abdominal wear out without coagulation. Diagnosis of traumatic rupture with hemorrhagic anemia. After admission in general anesthesia