论文部分内容阅读
1案例资料赵某,男,39岁。2009年9月21日,因交通事故被叉车前轮碾压导致右下肢损伤,伤后到某医院治疗。查体:右小腿中下段内侧有约5cm×5cm开放伤口,骨折端外露,污染严重。诊断:右胫骨开放骨折,右跟骨开放骨折。行右胫骨、右跟骨开放骨折清创缝合术。同日,因伤者感觉恶心请内科会诊,诊断为胃肠道应激反应。术后继发感染,小腿大部分皮肤坏死,菌培养示铜绿假单胞菌。伤者既往无外伤、手术
1 case information Zhao, male, 39 years old. September 21, 2009, due to traffic accidents by forklift front wheel crushed the right lower limb injury, after injury to a hospital for treatment. Physical examination: the middle of the lower leg in the middle of about 5cm × 5cm open wound, the exposed end of the fracture, serious pollution. Diagnosis: Right tibia open fracture, right calcaneal open fracture. Right tibia, right calcaneal open fracture debridement and suture. On the same day, due to the wounded feeling please medical consultation, diagnosis of gastrointestinal stress response. Postoperative secondary infection, most of the skin necrosis of the leg, bacteria showed Pseudomonas aeruginosa. The injured no previous injuries, surgery