1病例介绍患者男,39岁,因“外伤所致生命体征不平稳”于2008-09-11入院。患者于9月8日因泥石流冲击致腹部受伤、右小腿开放性骨折及全身皮肤多处擦伤,就诊于当地医院,因失血性休克右下肢外伤严重,于9月9日转当地上级医院,发现腹部内液体淤积,遂行剖腹探查,发现肝右叶脏面破裂、结肠浆基层撕裂、腹膜后血肿,行肝脏修补、结 1 case description Male patient, 39 years old, because of “trauma-induced signs of instability ” admitted to 2008-09-11. Patients on September 8 due to debris flow caused by abdominal injuries, open fractures of the right leg and multiple skin abrasions, visited a local hospital, due to severe right hemorrhagic shock injury to the lower extremities, on September 9 to the local higher hospital, Found in the abdomen of liquid siltation, then exploratory laparotomy and found that the right lobar surface of the liver rupture, colon pulp tear, retroperitoneal hematoma, liver repair, knot