论文部分内容阅读
1病例报告患者男,44岁。因车祸致胸腹及双上肢多处外伤1h后来医院急诊。患者神智淡漠,血压约80/50mmHg,心率110/min,头颅未见畸形,双侧瞳孔等大等圆,存在对光反应,颈软,无抵抗,胸腹部和右上肢可见皮肤擦伤,胸部可触及捻发音,双肺呼吸音弱,腹部平软,肝脾区触及时患者有痛苦表情。右锁骨处可触及骨折端,右上臂肿胀畸形可触及骨擦音。桡动脉搏动存在,病理征未引出。给予吸氧、输液抗休克治疗,夹板固定左上肢,抽血行血常规、血生化、凝血4项、免疫4项检查,并与血库联系
A case report Male patient, 44 years old. Chest and abdomen caused by a car accident and multiple upper extremity trauma 1h later hospital emergency. Patients with indifference, blood pressure about 80 / 50mmHg, heart rate 110 / min, no cranial deformity, bilateral pupil and other large circle, there is light response, neck soft, non-resistance, chest and abdomen and right upper extremity visible skin abrasions, chest Can reach the twist pronunciation, lung breath sounds weak, flat and soft belly, liver and spleen area when patients have painful facial expression. The right clavicle can reach the fracture side, right upper arm swelling and deformity can touch the bone fricative. Radial artery pulse exists, the pathological sign did not lead. Given oxygen, infusion anti-shock treatment, splint fixed left upper limb, blood routine, blood biochemistry, coagulation 4, 4 immunization and blood bank contact