患者,男性,55岁。该患左胸部被汽车撞伤后2小时入院。无昏迷及其它副损伤史。既往无肝炎接触史,无输血和服阿的平等药物史。查体:T36.5℃P100次/分,Bp17/10kPa 被动体位、呼吸受限,心音纯律整,心率100次/分左胸壁软组织皮下淤血,触之有广泛压痛,骨擦音阳性,右肺呼吸音清晰,左肺呼吸音弱,无干湿罗音,全腹软,肝脾未扪及,肝区无叩痛,胸片示左胸前肋2至9肋 Patient, male, 55 years old. The affected left chest was injured 2 hours after being hospitalized. No coma and other minor injury history. No past history of exposure to hepatitis, no blood transfusion service equal drug history. Physical examination: T36.5 ℃ P100 beats / min, Bp17 / 10kPa passive position, limited breathing, heart sound pure law, heart rate 100 beats / min subcutaneous chest wall soft tissue congestion, contact with a wide range of tenderness, bone fricative positive, right Lung breath sounds clear, left lung breath sounds weak, no wet and dry rales, full belly soft, liver and spleen not palpable, no percussion pain in the liver area, chest chest showed the left chest ribs 2 to 9 ribs