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[诊治经过]患者张某于1998年7月27日因车祸受伤到A省F市S县L医院抢救。入院主诉:车祸致右小腿疼痛活动受限2小时。入院时体温36.5°C,呼吸20次/分,脉搏96次/分。神清,检查合作。专科情况:右膝部肿胀,髌骨上段骨折、错位。入院诊断:1.右胫骨上段开放性骨折;2.右髌骨骨折。于入院当日上午11时在硬外麻下行右胫骨骨折切开复位加螺丝钉内固定,右骸骨部分切除,韧带修补术。术程顺利,术后用石
[Diagnosis and treatment] patients Zhang was injured in a car accident on July 27, 1998 to S County L Hospital, F City, A Province. Admitted to the hospital: a car accident caused by pain in the right leg restricted 2 hours. Body temperature at admission 36.5 ° C, breathing 20 beats / min, pulse 96 beats / min. God clear, check cooperation. Specialist situation: swelling of the right knee, upper patella fracture, dislocation. Admission diagnosis: 1. Right upper tibia open fracture; 2. Right patella fracture. On the day of admission at 11 o’clock in the right lateral tibial fractures underwent open reduction and screw fixation, partial removal of the right bones, ligament repair. Smooth operation, postoperative use of stone