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1案例资料1.1病例资料赵某,男,36岁。2015年6月因纠纷被人用拳脚殴打全身多处,伤后到当地某二甲医院就诊。病历资料:头顶部多处压痛,腰背部多处挫伤,无骨擦音及骨擦感。CT片示:L1椎体右侧横突局部骨质稍分离,分离端有皮质,上下缘皮质欠光滑,密度欠均,余椎体及附件未见明显新骨折征象(图1、2)。出院诊断:全身多处挫裂伤;第1腰椎右侧横突陈旧性骨折。住院两天后转某三甲医院就诊。病历资料:腰部活动稍受限,卧床翻身活动可,腰部皮肤无红肿
1 case data 1.1 case information Zhao, male, 36 years old. In June 2015, he was beaten and punched with multiple fist and body parts due to disputes. After he was injured, he was taken to a local A-level hospital for treatment. Medical records: multiple head top tenderness, multiple contusions in the lower back, no bone fricative and bone rub feeling. CT showed: L1 vertebral right transverse process of local bone slightly separated, isolated end of the cortex, the lower edge of the cortical less smooth, density less homogeneous, the remaining vertebral body and attachment no obvious new fracture signs (Figure 1,2). Discharge diagnosis: multiple contusion and laceration of the body; the first lumbar transverse process of the old fracture. Two days after admission to a top three hospital. Medical records: slightly restricted waist activity, bed stand-up activities can be no waist and redness swollen skin