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病例女,34岁。意外摔倒后手部先着地7 d,右上臂感觉疼痛、肿胀、活动中度受限,加重3 d来院就诊。查体:右前臂三角巾固定,右上臂活动受限,局部肿胀,无发红、破溃,局部皮温正常,压痛明显,纵向叩击疼痛阳性,桡动脉搏动存在。实验室检查:血、尿常规未见明显异常。X线摄片:右肱骨上段见一与长轴平行均匀骨质密度减低区,约6.0 cm×2.5 cm,边缘模糊、无硬化,无骨膜反应,骨皮质不连续、无明显移位,局部未见明确软组织肿块影。
Case female, 34 years old. After the accidental fall hand first ground 7 d, the right upper arm feel pain, swelling, moderate mobility, increased 3 d to the hospital. Physical examination: the right forearm triangle towel fixed, limited right upper arm activity, local swelling, redness, rupture, local skin temperature was normal, significant tenderness, longitudinal percussion pain, radial pulse exists. Laboratory tests: blood, urine routine no obvious abnormalities. X-ray: the upper right humerus see a parallel with the long axis of uniform bone density reduction zone, about 6.0 cm × 2.5 cm, fuzzy edge, no sclerosis, no periosteal reaction, cortical discontinuity, no significant shift, local See a clear shadow of soft tissue mass.