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1案例资料王某,男,41岁。2013年3月13日被人用刀刺伤胸部,急症行手术治疗,后痊愈。1.1病历摘要王某因“刀刺伤半小时”就诊。查体:血压70/40mmHg,呼吸30次/min,神志不清,语言混乱,四肢末梢潮凉,大小便失禁。胸骨右缘第4、5肋间处可见一宽约2cm的刀尖断端及一个长约2cm创口。双肺呼吸正常,呼吸动度两侧对称。心前区无隆起、未触及震颤、无抬举感,心尖搏动不弥散;心
1 case information Wang, male, 41 years old. March 13, 2013 was stabbed the chest with a knife, emergency surgery, after recovery. 1.1 Medical Summary Wang because “knife stabbed half an hour ” treatment. Physical examination: blood pressure 70 / 40mmHg, breathing 30 beats / min, confusion, language confusion, extremities cold tide, incontinence. Sternal right margin 4,5 intercostal Department can be seen at a knife edge of about 2cm in width and a wound about 2cm long. Respiratory normal lungs, respiratory symmetry on both sides. Anterior precinct without uplift, did not touch tremor, no sense of lift, apical beat does not spread; heart