论文部分内容阅读
患者,男,41岁,以腹部外伤就诊。入院前8小时因交通事故,方向盘伤及胸腹部及下肢,当时感胸部剧烈疼痛、呼吸困难、无意识障碍、无恶心呕吐、咯血呕血、无大小便失禁。入院行胸腹部X摄片及CT检查发现:肋骨多发性骨折,左侧膈肌抬高,肺压缩30%,腰椎及右胫腓骨折。积极抗休克治疗的同时,急诊在全麻下行剖腹探查术,术中见:左侧膈肌有
Patient, male, 41 years old, treated with abdominal trauma. 8 hours prior to admission due to traffic accidents, steering wheel injuries and chest, abdomen and lower limbs, when the chest was felt severe pain, difficulty breathing, unconsciousness, no nausea and vomiting, hemoptysis hematemesis, no incontinence. X-ray examination of chest and abdomen admission and CT examination found: multiple fractures of the ribs, left diaphragm elevation, pulmonary compression 30%, lumbar and right tibia fibular fracture. Active anti-shock treatment at the same time, emergency undergoing laparotomy under general anesthesia, intraoperative see: the left diaphragm