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谢××,男,48岁,融水县融水公社小荣大队东方红生产队社员。主诉:被犁把撞伤右胸,疼痛难忍一天。患者在犁田时,不慎被犁把撞在右上胸,当即感疼痛难忍,蹲在田边不能站立约半小时,随后呼吸、咳嗽、大声讲话、快步时均感右胸疼痛难忍,自服去痛片2片未效。检查:神志清楚,呈痛苦面容。头颈部、脊椎、四肢活动正常。心律稍快,肺部呼吸音正常,腹软,肝脾未触及。脉弦紧,舌质
Xie × ×, male, 48 years old, member of Dongfanghong Production Team, Xiaorong Brigade, Rongshui Commune, Rongshui County. Chief Complaint: He was ploughed and bruised his right chest and it was unbearable for a day. When the patient plowed the field, he was accidentally ploughed and hit the right upper chest. He felt pain and irritation immediately. He was unable to stand in the field for about half an hour. Then he breathed, coughed, spoke loudly, and quickly felt pain in his right chest. , Self serving pain tablets 2 not effective. Inspection: conscious and painful face. Head and neck, spine and limbs are normal. The heart rate was slightly faster, the lungs had normal breath sounds, the abdomen was soft, and the liver and spleen were not touched. Pulse string tight, tongue