外伤性胆总管拔脱伤一例

患者男，22岁。因右上腹撞击伤后20min入院。患者被车间高速运行的直径23cm，长约10cm的钢管纵向撞伤右上腹，当时感右上腹剧痛送至我院。查体：血压120／80mmHg（1mmHg=0．133kVa），脉搏100次／min，神志清楚，急性痛苦病容，腹平坦，右上腹沿肋缘下长约20cm弧形皮肤瘀痕，呈板状腹，全腹压痛，反跳痛，以右上腹为甚，移动性浊音可疑，肠鸣音未闻及。X线胸部平片及腹部立位片未见胸腔积液及隔下游离气体。腹部B超示左肝下间隙、脾区及肠间隙均有积液，左肝包膜模糊。初步诊断：腹部闭合伤，肝破裂可能性大。...

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Veröffentlicht in:	Chung-hua wai kʿo tsa chih 2007, Vol.45 (3), p.165-165
1. Verfasser:	车剑李永杨志辉蒋思军
Format:	Artikel
Sprache:	chi
Schlagworte:	X线胸部平片右上腹外伤性拔脱移动性浊音胆总管胸腔积液腹部B超
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container_title	Chung-hua wai kʿo tsa chih
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creator	车剑李永杨志辉蒋思军
description	患者男，22岁。因右上腹撞击伤后20min入院。患者被车间高速运行的直径23cm，长约10cm的钢管纵向撞伤右上腹，当时感右上腹剧痛送至我院。查体：血压120／80mmHg（1mmHg=0．133kVa），脉搏100次／min，神志清楚，急性痛苦病容，腹平坦，右上腹沿肋缘下长约20cm弧形皮肤瘀痕，呈板状腹，全腹压痛，反跳痛，以右上腹为甚，移动性浊音可疑，肠鸣音未闻及。X线胸部平片及腹部立位片未见胸腔积液及隔下游离气体。腹部B超示左肝下间隙、脾区及肠间隙均有积液，左肝包膜模糊。初步诊断：腹部闭合伤，肝破裂可能性大。
doi_str_mv	10.3760/j:issn:0529-5815.2007.03.024
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subjects	X线胸部平片右上腹外伤性拔脱移动性浊音胆总管胸腔积液腹部B超
title	外伤性胆总管拔脱伤一例
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