82cm steel insert causes severe perineal 1 case of multiple injuries.docVIP

 PAGE \* MERGEFORMAT 7 82cm steel insert causes severe perineal 1 case of multiple injuries Of: Xu Wenshun, Xuhan Ping, Wu Xiao Ye, Guo middle Jianghua [Abstract] Clinical sharp through the whole body is rare, this case 82cm steel insert caused by thoraco-abdominal perineal injury, multiple organ rupture, traumatic shock, ISS score: 38 points (severe damagegt; = 25 points), was timely treatment. [Keywords:] multiple trauma; thoraco-abdominal injuries; shock Clinical data 1 General information male patients, aged 35. Through injuries caused by sharp chest pain admitted to hospital with breathing difficulties for 45 minutes. Were imposed before the sitting position because of accidentally falling from a high, a length of about 82cm, 1.5cm thick steel bar from the left side vaginal penetration of the body, pull out their own chin-up, was rushed to hospital. checkup: T37.8 , P118 times / min, R 26 times / min, BP 86/61mmHg; conscious, muscle tension, the whole abdominal tenderness , rebound. CT showed: blood right pneumothorax, right lower lung traumatic wet lung, right lobe through injury, the fifth lumbar transverse process fractures of the right. AIS ISS score: 38 points. 2 treatment, and outcomes rushed to the operating room, anti-shock, while the right side first closed thoracic drainage; control in anesthesia breathing down laparotomy: a large number of intraoperative intraperitoneal hemorrhage was found, through right lobe of liver injury, there is active bleeding; gallbladder neck with a 4cm 3cm 2cm hematoma; the right central diaphragmatic rupture with a 1.5cm mouth and chest interlinked; right kidney and duodenum with a 2.5cm retroperitoneal between the cracks, and channels in the renal pedicle, the other exit on the right side before the sacroiliac joints between the penetration by the psoas muscle, iliac vessels and ureter on the right side after the hematoma was not found; sigmoid mesentery on the right upper rectum at a distance of