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1病例资料患者,男性,46岁,因外伤致右臂肿痛、畸形,活动障碍8h入院。查体:T 37.1℃,P 107次/分,R 18次/分,BP 141/70mmHg。心率107次/分,律齐,无杂音,除右臂外余未见异常。右臂肿胀,可见多处挤压伤及大量皮下血肿。X线提示:右前臂尺桡骨中段骨折。入院诊断:(1)右上肢挤压伤;(2)右臂丛神经损伤;(3)右尺桡骨骨折;(4)筋膜间室综合症。入院后依据患者临床表现,考虑皮肤软组织条件较差,手术感染风险较大,故采取保守治疗,石膏固定后积极
1 case data patients, male, 46 years old, due to trauma caused by right arm swelling and pain, deformity, movement disorders 8h admission. Examination: T 37.1 ℃, P 107 beats / min, R 18 beats / min, BP 141 / 70mmHg. Heart rate 107 beats / min, law Qi, no noise, in addition to the right arm no exception. Swollen right arm, showing multiple crush injuries and a large number of subcutaneous hematoma. X-ray tips: right forearm ulnar radius fractures. Admission diagnosis: (1) right upper extremity crush injury; (2) right brachial plexus injury; (3) right ulnar radius fracture; (4) compartment syndrome. Admission based on the clinical manifestations of patients, consider the skin and soft tissue conditions are poor, the risk of surgical infection larger, so take a conservative treatment, gypsum fixed positive