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1 病例介绍患者男性,48岁,住院号37685,因车祸伤2小时以“右4和6肋、右肩肿骨骨折,创伤性休克,腹内脏器损伤待排”于2000年11月5日10Am收我院骨科住院。4:30 Pm呼吸、心跳骤停,经心肺复苏成功后送手术室手术探查,行脾破裂切除,右网膜动脉断裂结扎,腹膜后血肿清除,双胸腔闭式引流术后于6日凌晨转入ICU病房。术中腹腔出血约5500ml,胸腔出血800ml,以右胸腔为主。术后呼吸机控制通气,并积极补血,纠正凝血障碍,抗休克,抗感染,保护心、肝、
1 case description Male patient, 48 years old, hospital number 37685, due to traffic accident 2 hours to “right 4 and 6 ribs, right shoulder swelling fractures, traumatic shock, abdominal organ injury to be ranked” in November 2000 10A on the 5th received hospital orthopedic hospitalization. 4:30 Pm respiration, cardiac arrest, after successful cardiopulmonary resuscitation surgery room operation exploration, splenectomy resection, rupture of the right omentum artery ligation, retroperitoneal hematoma, double thoracic closure drainage in the early morning of the 6th turn Into the ICU ward. Intraoperative abdominal bleeding about 5500ml, 800ml of chest bleeding, mainly to the right chest. Postoperative ventilator control ventilation, and active blood, correct coagulation disorders, anti-shock, anti-infection, protect the heart, liver,