1病例报告患者男,某炮团士兵,18岁。在实弹射击时,因距离火炮较近被后座气浪击倒,感头晕、胸闷、轻度腹痛,未见其他症状;血压126/82mmHg,嘱其休息观察。3h后胸闷、腹痛加重,急送附近医院,超声检查提示腹腔积液,遂送上级医院。入院时可步行,神志清楚,能正确问答,体温36.5℃,血压120/80mmHg,胸廓无畸形,上腹部胸骨柄稍向下位置有3.0cm×3.0cm淤血痕迹,无皮肤破溃,腹部压痛(+),无反跳痛及肌紧张,移动性浊音(+)。于右下腹麦氏点用5ml注射器抽出不凝血。超声检查 Patient male patient, a gun soldier, 18 years old. In the live fire, due to the distance from the gun was knocked down by the rear seat air waves, feeling dizzy, chest tightness, mild abdominal pain, no other symptoms; blood pressure 126 / 82mmHg, told the rest observation. 3h after the chest tightness, abdominal pain increased, and quickly sent to the hospital, ultrasound showed celiac effusion, then sent to higher-level hospitals. Admission can be walk, conscious, correct question and answer, body temperature 36.5 ℃, blood pressure 120 / 80mmHg, thoracic deformity, the lower abdomen sternum slightly downward 3.0cm × 3.0cm blood stains, no skin ulceration, abdominal tenderness +), No rebound tenderness and muscle tension, dullness of mobility (+). On the right lower abdomen McMaster point with 5ml syringe out without coagulation. Ultrasonography