论文部分内容阅读
1案例资料1.1简要案情某男,1967年出生,既往体健。某年4月14日驾驶客车与货车相撞受伤,伤后即感左胸前区疼痛,呼吸时加重。到医院就诊,查体:血压8.5/14.4kPa;双肺底未闻及干湿啰音,心界无扩大,心率117次/min,律齐,心前区未闻及杂音。心脏超声示:心包积液;CT示:左第1~9肋骨骨折,右第2、3、7、9肋骨骨折;创伤性湿肺。急诊行探查术,术中见心包腔高压,心包
1 case information 1.1 brief case a man, born in 1967, previous physical health. April 14 driving a passenger car collided with the truck wounded after the injury that left chest pain, breathing increased. To the hospital, physical examination: blood pressure 8.5 / 14.4kPa; both at the end of the lungs did not smell and wet and dry rales, no expansion of the heart, heart rate 117 beats / min, law Qi, precordial did not smell and noise. Echocardiography showed: pericardial effusion; CT showed: left 1 to 9 rib fractures, the right 2,3,7,9 rib fractures; traumatic wet lungs. Emergency line exploration surgery, intraoperative see pericardial hypertension, pericardium