胸心外科（Cardiothoracic surgery）.docVIP

胸心外科（Cardiothoracic surgery） Case history summary: patient male, 28 years old. Construction fell from 4 meters high, half an hour later was sent to the emergency room. Physical examination; blood pressure 4 / 2kPa (30 / 15mmHg), God, shortness of breath, pale, cold limbs, thready pulse, left chest tenderness, collapsed chest, bone rubbing and paradoxical respiratory syndrome, left chest with a 2 * 2.5cm gas entry wound wound, can hear sound, sound of breath left right away, decreased breath sounds. Question: according to the summary of the medical records, which of the following diagnoses can be made clear? A. multiple rib fractures B. open pneumothorax C. hemathorax D. tension pneumothorax E. traumatic diaphragmatic hernia F. pericardial tamponade G. traumatic shock H. craniocerebral injury Question: the most urgent treatment should be: A. rapid transfusion B. oxygen delivery C. tracheotomy D. open chest exploration E. left chest closed drainage F. floating chest wall pressure bandaging G. semirecumbentposition H. left chest closed open wound Question: when asked about the injury, should also focus on understanding what? A. coma B. vomiting C. hemoptysis D. pee E. injured position F. mode of movement G. pre injury health status Genetic history of the H. family Question: what items should be included in the physical examination? A. pupil B. trachea C. chest wall D. heart and lung E. liver and spleen F. spine G. limbs H. knee jerk I. pathological reflex J. jugular vein Question: do you think the emergency room should be applied for any secondary examination? A. standing chest radiograph B. hepatic and renal function C. lung function D. blood gas analysis E. electrocardiogram F. urine routine G. blood routine and blood type H. whole body CT I. echocardiography Question: the abnormal chest sign of abnormal breath sign is: A. chest collapse during inhalation B. injured chest collapse when expiratory C. injured chest bulge during inhalation D. injured chest bulge when ex