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1病历摘要男,14岁。右上腹被车柄撞伤后10 min入院。检查:面色苍白脉搏细速,血压测不到。剑突右下方表皮有直径8 cm淤血斑,全腹肌紧张,压痛,反跳痛,有移动性浊音,腹穿抽出不凝血,诊为肝破裂。即输血、输液,紧急剖腹探查。开腹后大量鲜血外涌,见左肝叶粉碎性断裂,伤口已延及到第
1 medical record summary male, 14 years old. The upper right abdomen was hit by the handle 10 min after admission. Check: pale pulse fine speed, blood pressure can not be measured. SXT right lower epidermis with a diameter of 8 cm congestion spot, the whole abdominal muscle tension, tenderness, rebound tenderness, a moving dullness, abdomen wear out without coagulation, diagnosis of liver rupture. Transfusion, infusion, emergency laparotomy. A large amount of blood surging after an open laryngeal, see the left liver lobes comminuted fracture, the wound has been extended to the first