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患者男,工人,21岁。1979年12月12日,因工作不慎被压力为110大气压的氧气瓶开口处喷射的氧气气浪直接冲击口腔,当即晕倒,呼吸困难。急送医院。查体:150/90血压毫米汞柱,体温36.4℃,脉搏84次/分。意识清楚,呼吸表浅,急促,颜面及肢端轻度发绀,眼结膜充血,颜面点片状擦痕。颈部皮下气肿。心尖可闻Ⅰ°级缩鸣,左心前区可闻及心乜摩擦音。两肺呼吸音弱,未闻及湿罗音。腹平软,肝脾未扪
Patient male, worker, 21 years old. December 12, 1979, due to work inadvertently pressure of 110 atmospheres of oxygen cylinder jet spray of oxygen waves directly impact the mouth, fainted immediately, breathing difficulties. Rushed to the hospital. Physical examination: 150/90 blood pressure mm Hg, body temperature 36.4 ℃, pulse 84 beats / min. Consciousness, breathing superficial, rapid, facial and extremities mild cyanosis, conjunctival hyperemia, facial spots scratches. Neck subcutaneous emphysema. Apex can be heard Ⅰ ° level Ming Ming, left heart area can be heard and heart 乜 fricative. Breath sounds weak lungs, no smell and wet rales. Abdomen soft, liver and spleen not palpable