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患者男性,35岁,农民.因驾驶拖拉机运土翻车致伤1小时来院求治.入院当时一般情况可,骨盆挤压分离试验阳性.X线片示双侧耻骨上骨折,腹部无重要异常发现.经门诊现察,一般治疗2天,因腹胀逐渐加重收入院.检查:腹部饱胀明显,有压痛但无反跳痛,肠蠕动音较弱.认为系骨盆骨折和腹肤后血肿刺激内脏神经致肠麻裨所致.给予补液、抗生素、骨盆牵引等治疗.次日上午8时腹胀难忍,在决定于以胃肠减压尚未实行之
Male patient, 35 years old, farmer.Driving the tractor to soil rollover injuries 1 hour to hospital for treatment.At the time of admission general situation, pelvic extrusion separation test was positive.X ray showed bilateral suprapubic fractures, no significant abnormalities found in the abdomen. The outpatient observation, the general treatment of 2 days, due to abdominal distension gradually increase the income of the hospital. Check: abdominal fullness, tenderness but no rebound pain, weak peristalsal movement, that Department of pelvic fractures and abdominal skin hematoma stimulated visceral nerve Caused by intestinal Mabi due to rehydration, antibiotics, pelvic traction and other treatment the next day 8 am abdominal distention, unbearable in the decision to gastrointestinal decompression has not been implemented