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病例介绍:患者,男,21岁,农民,以腹部外伤伴有尿血收治我院。患者于两小时前不慎被水泥板砸伤腹部,伤后腹部呈持续性疼痛,神志清醒,T:36.5℃,P:100次/分,R:22次/分,BP:12/7.5KPa心肺无异常。检查:左肾区压痛,膀胱区浊音,肝浊音界存在,肠呜音可闻及,骨盆挤压试验阳性,橡皮导尿管顺利插入,引出血性尿液约200ml,腹腔穿刺抽出少许血性不凝液体。入院诊断为:(1)腹腔实质脏器破裂;(2)骨盆骨折;(3)失血性休克。术前准备完毕后入手术室在全麻下行“剖腹探查术。”术中见:腹腔有新鲜血液约200～300ml,左侧后腹膜血肿明显,肝、胆、脾、
Case description: Patient, male, 21 years old, farmer, with abdominal trauma associated with hematuria admitted to our hospital. The patient was accidentally injured by the cement board two hours earlier. The abdomen was sustained painful and conscious. T: 36.5 ℃, P: 100 beats / min, R: 22 beats / min, BP: 12 / 7.5kPa No abnormal heart and lung. Check: the left kidney area tenderness, voiced vo urinary bladder area, voiced voice industry there, bowel sounds can be heard, pelvic compression test was positive, rubber catheter inserted smoothly, leading to bloody urine of about 200ml, abdominal puncture a little bloody non-condensate liquid. Admission diagnosed as: (1) abdominal organ rupture; (2) pelvic fracture; (3) hemorrhagic shock. Before surgery after the completion of surgery into the operating room under general anesthesia, “laparotomy.” See intraoperative: fresh blood of the abdominal cavity about 200 ~ 300ml, left retroperitoneal hematoma significantly, liver, gallbladder, spleen,