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临床资料患者,男,42岁。因交通伤致头面部、胸腹部受伤后意识不清伴呼吸困难3 h急诊入院。入院诊断:多发性外伤,创伤性、失血性休克,呼吸衰竭,多发性肋骨骨折,右侧血气胸,肺挫伤,代谢性酸中毒,上消化道出血,失血性贫血,脾破裂并血肿形成等。入院后经抢救治疗,患者生命体征逐渐稳定,神志清楚。于入院后第2 d突然出现少尿直至无尿,给予床旁连续性血液净化。治疗过程中发现上肢血压逐
Patients with clinical data, male, 42 years old. Due to traffic injuries caused by head and face, chest and abdomen after injury unconscious with respiratory difficulties 3 h emergency admission. Admission diagnosis: Multiple trauma, traumatic, hemorrhagic shock, respiratory failure, multiple rib fractures, right hemothorax, pulmonary contusion, metabolic acidosis, upper gastrointestinal bleeding, hemorrhagic anemia, splenic rupture and hematoma formation . Rescued after admission to treatment, the patient’s vital signs gradually stable, conscious. On the 2nd day after admission, oliguria suddenly appeared until no urine, giving the bedside continuous blood purification. Upper extremity blood pressure was found during treatment