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1案例资料1.1案例1某男,38岁。2015年2月某日,因感情纠纷,被他人用绳索绑住双手,热水烫伤下腹部及双大腿,榔头砸伤颈部及左下肢。据病历记载:血压80/38mmHg,呼吸30次/min,心率130次/min,神志模糊,下腹部及双大腿约15%Ⅱ°烧伤,左颈部及左上下肢局部软组织肿胀,CT示:少量纵隔气肿,两侧胸腔少量积液,左腓骨头粉碎性骨折。辅助检查:伤后第2天尿蛋白2+,血尿素氮9.79mmol/L,肌酐164μmol/L,血红蛋
1 case information 1.1 case 1 a man, 38 years old. One day in February 2015, due to emotional disputes, others were tied with hands ropes, hot water, lower abdomen and double thighs, the hammer hit the neck and left leg. According to medical records: blood pressure 80/38 mmHg, breathing 30 beats / min, heart rate 130 beats / min, ambiguity, lower abdomen and double thigh about 15% Ⅱ ° burns, left neck and left upper extremity local soft tissue swelling, CT showed: a small amount Mediastinal emphysema, a small amount of fluid on both sides of the chest, left fibular head comminuted fracture. Auxiliary examination: urinary protein 2+, blood urea nitrogen 9.79mmol / L, creatinine 164μmol / L, hemoglobin