患者,女性,26岁,2小时前被锐器刺伤左上腹,即感腹痛,伤口有活动性出血,伴恶心呕吐,心慌。查体:T:36.9℃,P:120次/分,R:48次/分,BP7...

作者: rantiku 人气: - 评论: 0
问题 患者,女性,26岁,2小时前被锐器刺伤左上腹,即感腹痛,伤口有活动性出血,伴恶心呕吐,心慌。查体:T:36.9℃,P:120次/分,R:48次/分,BP70/40mmHg;急性失血貌,唇苍白,四肢稍发冷,心肺未见异常,左腹部可见刀刺伤伤口,有活动性出血,肌紧张,肠鸣音消失。血红细胞1.0×10/L,Hb50g/L。 该患者的初步诊断是
选项 A.空腔脏器破裂(结肠破裂) B.脾破裂 C.小肠破裂 D.肝破裂 E.膈肌破裂
答案 B
解析 手术治疗原则:吸净积血,找到脾动脉,控制出血,然后切除脾脏切忌在血泊中盲目乱夹

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