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本文报道首例闭合创伤性下腔静脉自右心房完全性断裂伤,抢救成功经验。病例:女性、年47岁汽车撞击伤,未用安全带当场血压70/?,神志清。伤后1小时入院,血压120/70,右下胸压疼,心率50次,下腹及髂凹部轻度压痛,头颅胸腹平片无异常,腹腔灌洗呈血性液。血红蛋白:11.1 g,白细胞15800/mm~3。诊断肝挫裂伤?。剖腹探查有积血300 ml,肝右叶轻度挫伤,圆韧带镰状韧带后方腹膜返折部,下腔静脉前区瘀血,沿肝左三角韧带伸延,游离左三角韧带见有大量静脉血涌出,立即向右上自第6肋间作胸膈切口,
This article reports the first case of closed traumatic inferior vena cava complete right atrial injury, the successful experience of rescue. Case: Female, 47-year-old car crash injury, unused seatbelt blood pressure 70 /? 1 hour after injury admission, blood pressure 120/70, lower right chest pressure, heart rate 50 times, lower abdomen and iliac crepitus mild tenderness, no abnormal chest and abdomen flat, abdominal lavage was bloody fluid. Hemoglobin: 11.1 g, white blood cells 15800 / mm ~ 3. Diagnosis of liver contusion? Laparotomy with hemorrhage 300 ml, mild right lobar contusion, round ligament sickle ligament retroperitoneal fold, inferior vena cava anterior bleeding, along the left extension of the ligament of the liver, the left ventricle to see a large number of free venous blood Gush, immediately right from the 6th intercostal space for mediastinal incision,