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1病例报告患者男,19岁;士兵。军事格斗训练时不慎被连续踢到右腹部,感觉右上腹疼痛,伴呼吸困难,原地休息10min后出现恶心。现场医务人员检查:呼吸急促,脉搏95/min,血压100/60mmHg;右上腹壁可见3cm×5cm挫伤创面,无活动性出血及渗血;右上腹压痛明显,无反跳痛及肌紧张,肝脾未触及,肝区叩击痛,无移动性浊性,肠鸣音弱。考虑为肝损伤,立即送体系
1 case report Patient male, 19 years old; soldier. Military combat training accidentally being kicked to the right abdomen, feeling right upper quadrant pain, with breathing difficulties, rest in place after 10min nausea. On-site medical staff examination: shortness of breath, pulse 95 / min, blood pressure 100 / 60mmHg; right upper abdominal wall visible 3cm × 5cm contusion wounds, no active bleeding and oozing; right upper quadrant tenderness obvious rebound pain and muscle tension, liver and spleen Not touched, liver percussion pain, no mobility turbidity, bowel sounds weak. Considered as a liver injury, immediately send the system