1病例资料患者,男,45岁,2015年12月8日23:30因“砸伤致全身多处疼痛19 h”来我院外科就诊。入院诊断:(1)急性呼吸窘迫综合征;(2)闭合性胸部损伤;(3)闭合性腹部损伤;(4)右肾包膜下血肿;(5)左肾囊肿并出血;(6)双侧腰大肌血肿;(7)腰3椎体爆裂骨折;(8)腰1-3椎体附件骨折;(9)脊髓损伤;(10)右股骨粗隆间骨折;○11急性肾功能不全。患者既往无肝炎、结核、疟疾病史,无高血压、心脏病史,无糖尿病、脑血管、 1 Case data Patients, male, 45 years old, December 8, 2015 23:30 due to “hit the body caused by multiple pain 19 h ” to our hospital surgical treatment. Admission diagnosis: (1) acute respiratory distress syndrome; (2) closed chest injury; (3) closed abdominal injury; (4) right renal subcapsular hematoma; (5) left renal cyst and bleeding; (7) lumbar 3 vertebral burst fracture; (8) lumbar 1-3 vertebral attachment fracture; (9) spinal cord injury; (10) right femur intertrochanteric fractures; 11 acute renal function Incomplete. None of the patients had previous history of hepatitis, tuberculosis, malaria, high blood pressure, history of heart disease, no diabetes, cerebrovascular disease,