1　病历资料患者　男, 52岁。因爆炸伤后意识不清伴腹胀 20h入院。20h前,患者在石料场劳动时,因雷管爆炸双下肢被击伤,当时意识清楚,情况稳定。30min后出现昏迷,无恶心、呕吐、两便失禁。在当地医院诊断为“失血性休克、双下肢血气肿”,曾发生呼吸、心跳骤停而行心肺复苏、抗休 Patient information Male patient, 52 years old. Unconsciousness due to blast injury with abdominal distension 20h admission. 20h ago, when the patient was working in a quarry, both limbs were injured due to a detonator explosion, and the situation was clear and clear at that time. 30min after a coma, no nausea, vomiting, two incontinence. In the local hospital diagnosed as “hemorrhagic shock, lower extremity hematoma,” had respiratory, cardiac arrest and cardiopulmonary resuscitation, anti-rest