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1病例介绍患者,男,40岁,因右前臂摔伤伴畸形5 h于2007年7月20日在笔者所在医院治疗。查体:体温37.8℃,右前臂肿胀,畸形,活动受限,有骨擦感,尺侧有一长约2 cm伤口,与骨相通。X线片检查:右尺桡骨骨折,右肘关节脱位,血WBC9×10~9/L。入院诊断:右尺桡骨开放性骨折,右肘关节脱位。入院后完善术前准备,在臂丛麻醉下行急症手术,术中给予3%双氧水及生理盐水冲洗清创,骨折复位后钢板、克氏针内
1 case description The patient, male, 40 years old, due to right forearm injury with deformity 5 h on July 20, 2007 at the author’s hospital for treatment. Physical examination: body temperature 37.8 ℃, right forearm swelling, deformity, limited mobility, a sense of bone friction, ulnar has a length of about 2 cm wound, and bone phase. X-ray examination: right ulnar radius fracture, right elbow dislocation, blood WBC9 × 10 ~ 9 / L. Admission diagnosis: right ulnar radius fracture, right elbow dislocation. Perfecting preoperative admission after admission, emergency surgery in brachial plexus anesthesia surgery, given 3% hydrogen peroxide and saline debridement surgery, fracture reduction after the plate, Kirschner wire