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患者女,12岁。于1996年5月23日上午放学回家途中,被拖拉机撞倒,拖辗20米致伤。伤后20分钟送往医院。查体:T36.5℃,P150次,R32次,BP8.0/5.0kPa,体重73kg。神志清楚,心肺末见异常。面部及双上肢皮肤擦伤,双眼结膜充血水肿。左侧腹部至踝部、右侧腹股沟至小腿的中下1/3处、会阴、双臀部的皮肤全部撕脱。撕脱皮肤面积占全身体表面积的40%,(腹部3%,会阴1%,臀6%,大腿20%,小腿10%)。X线片示骨盆骨折。入院后立即建立液路,进行补液、吸氧、抗休克、
Female patient, 12 years old. On the morning of May 23, 1996, after returning home from school, she was hit by a tractor and dragged 20 meters to injure her. 20 minutes after injury to the hospital. Physical examination: T36.5 ℃, P150 times, R32 times, BP8.0 / 5.0kPa, weight 73kg. Consciousness, abnormal heart and lung end. Facial and upper extremity skin abrasions, conjunctival congestion and edema. The left abdomen to the ankle, the right groin to the lower third of the leg, the perineum, the skin of both buttocks avulsion. Torn skin area accounts for 40% of body surface area (3% of the abdomen, 1% of the perineum, 6% of the buttocks, 20% of the thighs and 10% of the lower legs). X-ray showed pelvic fracture. Immediately after admission, a fluid circuit was established for fluid replacement, oxygen inhalation, anti-shock,