2014-2015 学年第二学期外科第一阶段测验模板(国外英文资料).docVIP

2014-2015 学年第二学期内科第一阶段考试模板(国外英文资料) The first stage of the second semester of the 2014-2015 academic year Clinical medicine of 2011 The topic purpose a The second three Total score audit Get points Where some people 1, noun explanation: (2 points, 10 points) 1. 2, 3, 4, 5, Two, Jane answer the question: (5 points, 20 points) 1. 2, 3, 4, Case analysis: (10 points) templates A middle-aged man fell from a speeding car and was rushed to the left after he suffered from breathing difficulties The hospital. Post-admission examination: blood pressure 80/55mmhg, pulse 108 times/min, 28 breaths/min, clear, pale face, cold limbs; The trachea is shifted to the right, the left thoracic is full, the twirling sounds (+), and the touch of the bone rub, the sound of the voicing, the left breath of the breath is weakened, the rhythm of the heart; Belly is a bit of peng, abdominal breathing is abate, full abdomen tenderness, to the left upper abdomen, with rebound tenderness, hepatic dullness no narrow, left kidney area taps pain (+), shifting dullness (+), flank wear spare no clotting. Test: Hb78g/L, WBC 13.5 x 109 / L; Urinary routine: RBC30 ~ 50/hp. What is the diagnosis of this patient? (2) the diagnostic basis (3) the principle of rescue and treatment. Key points: (1) diagnosis of a composite chest injury: a broken rib and a blood chest Closed abdominal trauma: rupture of the left kidney of the spleen Uncontrolled hemorrhagic shock (2) the diagnosis was based on a fractured rib of a chest wound and a blood chest: the trachea was shifted to the right, and the left thoracic was full. The pronunciation (+), and the touch of the bone rub, the sound of the turbidity, the lower left breath. Rupture of spleen: abdominal breathing decreases, total abdominal pain, with left upper abdomen is very, the companion is painful, mobile voice (+), the abdomen pulls out the blood. Assay: Hb78g/L. Left kidney contusion: the left kidney area knocks the pain (+), urinary routine: RBC30 ~ 50/hp. Hemor