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1案例资料龙某,男,31岁,某日与人发生争执时,被人用刀刺伤右大腿下段后内侧,创口长1.8cm,深达肌层,当时自觉无异常,遂去当地门诊行清创缝合术。术后2天,伤者自觉右大腿肿胀明显伴疼痛,急去市人民医院就诊,查体:右大腿后内侧近腘窝处可见一长约2cm皮肤伤口,已清创缝合,皮缘对合良好,右腹股沟区可见条带状皮肤红肿,范围15cm×10cm,右大腿中下段可触及1处搏动性肿块,范围7cm×6cm,皮温较左侧凉,皮肤张力较大,右侧足背动脉搏动减弱,右侧膝关节活动受限。CT血管造影术见右侧股动
1 case information Dragon, male, 31 years old, one day a dispute with others, was stabbed the lower right thigh after the medial, a long 1.8cm, deep muscle, was no abnormal at that time, then went to the local clinic Debridement and suture surgery. 2 days after surgery, the injured conscious right thigh swelling was obviously accompanied by pain, urgent to City People’s Hospital, physical examination: the right thigh after the medial near popliteal see a 2cm long skin wounds, debridement and suture, Good, the right groin area visible skin irritation, the range of 15cm × 10cm, the middle and lower right thigh can reach a pulsatile mass, range 7cm × 6cm, skin temperature than the left side of the cold, the skin tension larger, right dorsal foot Arterial pulse weakened, the right knee activity is limited. CT angiography see the right femoral artery