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男,21岁。因车祸浓盐酸灌入驾驶室内致伤。伤后即有咽喉疼痛,干咳、发音微弱伴声嘶,呼吸困难。一天后来我院。查体:呼吸困难呈混合性,有三凹征,双肺听诊布满干性罗音及哮呜音。面颈部约有5%深Ⅱ度伤创面。胸片示双肺纹理增粗紊乱。生化 CO_2CP18.1mmol/L,血氧饱合度80%,因条件所限未请喉科会诊及纤维支气管镜检查。治疗:入院后即行持续低流量吸氧,床头备气管切
Male, 21 years old. Due to a car accident concentrated hydrochloric acid poured into the cab injured. Sore throat after the injury that is, dry cough, weak pronunciation with hoarseness, difficulty breathing. One day later my hospital. Physical examination: breathing difficulties were mixed, there are three concave sign, lung auscultation covered with dry rales and asthma sounds. About 5% of face and neck deep Ⅱ degree wounds. Chest radiograph shows double lung texture thickening disorder. Biochemical CO_2CP18.1mmol / L, oxygen saturation of 80%, due to the conditions are not invited throat consultation and bronchoscopy. Treatment: Continued low flow of oxygen after admission, bed tracheotomy