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患者,女,40岁.入院前34小时从1.5m高处跌下,右侧腰部撞在石块上,当即剧烈疼痛,不能活动,逐渐加重.就诊时血压 14/9kPa,贫血貌.腹部膨隆,全腹压痛病,反跳痛,以右侧为重,移动性浊音阳性.右侧腰部皮肤皮下组织有挫伤淤血、腹腔穿刺吸出不凝固的血性液体.Hb75g/L,尿常规未见异常.B超双肾未见异常.住院后行剖腹探查术,术中见腹腔内血性液体2000ml,右侧后腹膜广泛淤血,浆膜层破裂,吸尽血性液体,清除后腹膜凝血块,结扎出血点,
The patient, female, 40 years old, fell from a height of 1.5 m 34 hours before admission and hit the stone on the right side of the waist, immediately severe pain, can not move, and gradually increased .Patient blood pressure 14 / 9kPa, anemic appearance. , Total abdominal tenderness, rebound tenderness, to the right as the most important, mobile dullness positive.Under the right lumbar skin subcutaneous tissue bruises, abdominal paracentesis non-coagulation bloody fluid.Hb75g / L, no abnormal urinary routine. B ultrasonography showed no abnormalities.Lesophageal exploration after hospitalization, intraoperative see intraperitoneal bloody fluid 2000ml, the right retroperitoneal extensive congestion, serosal rupture, exhaustion of bloody fluids, removal of peritoneal clot, ligation of bleeding ,