患者,女,50岁,半小时前被车撞伤左大腿,有开放性伤口,出血较多。查体:P110/min,BP100/65mmHg,意识稍模糊,左大腿明显肿胀,伤口流血不...

作者: rantiku 人气: - 评论: 0
问题 患者,女,50岁,半小时前被车撞伤左大腿,有开放性伤口,出血较多。查体:P110/min,BP100/65mmHg,意识稍模糊,左大腿明显肿胀,伤口流血不止,有反常活动,首先应处理的是
选项 A.补液、止血、术前准备 B.拍全身X线片以了解全身骨折情况 C.切开复位内固定术 D.立即手法复位,外固定 E.止痛
答案 A
解析 :患者脉搏增快,血压偏低,故首先应该抗休克处理。开放性骨折应该积极手术。

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