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1案例资料1.1简要案情林某,男,29岁。某日23时12分,林某横穿马路步态不稳,翻越中间护栏时因裤腿被中间护栏挂住而以先臀部、后躯干方式跌倒,并躺在护栏旁边;约5min后,一急驶的小面包车左侧轮胎自上而下纵向碾压其身体右侧,约30min后被救护车送医。1.2临床经过林某被车撞伤致昏迷约40min后急诊送入院。查体:脉搏92次/min,血压13.1/9.3kPa,呼吸20次/min;嗜睡,烦躁,呼出气体有浓烈酒精味;双侧瞳孔等大等圆,对光反射存在。颈软;双肺叩为清音,未闻及
1 case information 1.1 brief case love Lin, male, 29 years old. One day at 23:12, Lin crossed the street gait unsteady, over the middle of the fence due to the trouser legs were caught by the middle of the fence and the first hip, after the torso fall, and lying next to the fence; about 5min, an urgent Driving the left side of the minivan tires from top to bottom longitudinal rolling the right side of their bodies, about 30min ambulance to the doctor. 1.2 Lin clinically injured by a car caused by a coma about 40min after emergency hospital. Physical examination: pulse 92 beats / min, blood pressure 13.1 / 9.3kPa, breathing 20 beats / min; lethargy, irritability, exhaled gas has a strong alcoholic smell; bilateral pupil and other large circle, the presence of light reflex. Neck soft; lungs knock as a voiceless, did not hear