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患者男,46岁,农民。因拖拉机翻车挤压致下腹部剧痛,大汗淋漓,不能站立,急送当地卫生院。经抢救后仍频繁呕吐、腹痛加剧8小时转入我院。查体:T37.7°CP120次/分R30次/分BP10/7kpa,神清、面色苍白,心肺阴性、腹肌稍紧张,下腹部有压痛及反跳痛,无移动性浊音、骨盆挤压试验(十),左腹股沟处肿胀,左髋关节活动受限,腹穿(一)。入院后经过多人会诊,认为腹膜后血肿,创伤失血性休克。结论:无手术指征,继续观察治疗。
Male patient, 46 years old, farmer. Due to the tractor rollover squeeze caused by abdominal pain, sweating, can not stand, urgent delivery to the local hospitals. After the rescue is still frequent vomiting, abdominal pain intensified 8 hours into our hospital. Examination: T37.7 ° CP120 times / min R30 times / min BP10 / 7kpa, clear, pale, cardio-pulmonary, abdominal a little nervous, tenderness and rebound tenderness in the lower abdomen, no dull dullness, pelvic compression Test (X), swelling in the left groin, left hip joint activity restricted, abdominal wear (a). Admission after many consultation, that retroperitoneal hematoma, traumatic hemorrhagic shock. Conclusion: No surgical indications, continue to observe the treatment.