病例男,33岁,因“高空坠落致全身多处损伤1h余”入院。入院时查体:BP80/50mmHg,P124次/min,RR24次/min。神清,精神差,痛苦面容,下颌骨开放伤,牙床受伤牙齿脱落。心率126次/min,心音弱,律齐。胸廓右侧塌陷,有压痛,右侧呼吸动度减弱,双肺呼吸音低,未闻及明显干湿罗音。四肢均有骨折,疼痛明显不能活动。X光胸片示“右侧胸腔少量积液及创伤性湿肺;右肺中叶不张,右肋多发骨折,纵膈右移”。ECG示“窦性心动过速” Male, 33 years old, was admitted to hospital due to multiple injuries 1 h at multiple injuries due to altitude fall. Admission examination: BP80 / 50mmHg, P124 times / min, RR24 times / min. Clear, poor spirits, painful face, mandibular open wound, gum injury tooth loss. Heart rate 126 beats / min, weak heart sound, law Qi. Thoracic right collapse, tenderness, right breath weaker, lung breath sounds low, no obvious and wet and dry rales. All fractures of the limbs, the pain obviously can not move. X-ray showed “a small amount of fluid on the right side of the chest and traumatic wet lung; middle of the right lung atelectasis, multiple fractures of the right rib, mediastinal right shift.” ECG showed “sinus tachycardia”