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1 典型病例 患者,男,49岁,因从行驶的汽车车厢内甩出,臀背部先落地摔伤。伤后神志清楚,轻度头晕,脏器检查阴性。次日整个臀背及双大腿内、外侧及后侧皮肤逐渐出现广泛性黑紫色瘀血,未治疗。5天后自觉头晕加重,恶心、乏力、腹胀、厌食、尿少,来院就诊。查体:生命体征平稳,意识清楚,精神萎靡。外科情况:腰背、臀部、双大腿内、外、后侧可见大面积皮肤黑紫、瘀血,总面积约占全身体表面积的
A typical case of patients, male, 49 years old, thrown from the driving car compartment, buttocks fell to the ground first fall. Conscious after injury, mild dizziness, organ examination negative. The next day the entire hips and inner thighs, lateral and posterior skin gradually widespread dark purple blood stasis, untreated. 5 days later, consciously increased dizziness, nausea, fatigue, bloating, anorexia, oliguria, to the hospital. Physical examination: vital signs stable, clear-cut, apathetic. Surgical conditions: back, buttocks, both thighs, inside and outside, visible large area of skin black purple, blood stasis, the total area of about the body surface area