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李某,男性,40岁。于1985年1月18日因汽车撞伤致左股骨上端闭合性骨折和右髂骨冀闭合性骨折急诊入院。检查:血压90/60,脉博84次,神志清楚,心肺检查正常。腹平坦,脐下有压痛,无反跳痛,无移动性浊音。肠鸣音减弱,左下肢呈外旋短缩畸形。左大腿肿胀有压痛和异常活动,足趾血运及活动正常,右髂骨翼处肿胀压痛。实验室检查:血红蛋白13.5克,红细胞480万,白细胞28000,中性粒细胞87％,淋巴13％,尿常规正常。门诊腹穿为阴性。
Lee, male, 40 years old. On January 18, 1985, the left upper femur closed fracture and the right iliac bone fracture closed due to a car crash were admitted to the hospital. Check: Blood pressure 90/60, pulse Bo 84 times, conscious, cardiopulmonary examination was normal. Abdomen flat, under the umbilical tenderness, no rebound pain, no mobility dullness. Bowel sounds weakened, left lower extremity was shortening deformity. Left thigh swelling tenderness and abnormal activity, normal toe blood supply and activity, swelling of the right iliac crest tenderness. Laboratory tests: 13.5 grams of hemoglobin, 4.8 million erythrocytes, leukocytes 28,000, neutrophils 87%, lymphatic 13%, normal urine. Outpatient abdominal wear is negative.