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笔者在一天内曾遇到两个外伤病例。例一,男性,十四岁,中学生。一九八三年十月十日上午,因与同学打架,左下胸和左上腹部被重拳击伤。当时他就面色苍白,额头出冷汗,伤处剧烈疼痛。经医生检查,脉搏增快,血压下降,拟诊为外伤性脾脏破裂,腹腔内出血。急诊手术发现脾脏两处巨大裂伤,腹腔内积血近千毫升,施行脾切除术,终于脱离危险。例二,男性,十二岁,中学生。一九八三年十月十日上午,在学校操场上进行单杠运动,不慎失手从高处坠跌,头部着地。单杠周围是水泥地。孩子随即发生短暂的意识丧失,频繁呕吐,剧烈头痛。医生诊断为重度脑震荡,采用药物治疗才转危为安。
I encountered two traumatic cases in a day. Example one, male, fourteen, middle school students. On the morning of October 10, 1983, he was severely wounded in the left lower chest and left upper abdomen by fights with his classmates. At that time he was pale, sweat on his forehead, severe pain in the wounds. After medical examination, the pulse rate increased, blood pressure, to be diagnosed as traumatic splenic rupture, intra-abdominal bleeding. Emergency surgery found two huge lacerations in the spleen, intraperitoneal hemorrhage nearly 1000 ml, the implementation of splenectomy, and finally out of danger. Example 2, male, 12 years old, middle school students. On the morning of October 10, 1983, a horizontal bar exercise was carried out on the school playground, accidentally missing from a height fall, head to the ground. Around the horizontal bar is concrete. Immediate loss of consciousness immediately after the child, frequent vomiting, severe headache. The doctor diagnosed with severe concussion, medication before turning critically ill.