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患者孙××,男,38岁。住院号45956。患者入院前2小时,在某医院局麻下作右侧舌下腺囊肿摘除术后,流血不止,经多方止血无效,转我科就诊。检查:F38.2℃,R24次/分,P115次/分,BP80/60mmHg,患者烦燥不安,全身大汗淋漓,四肢皮肤湿冷,轻压指甲呈苍白,呼吸困难,呼吸时可见三凹征。右侧口底血肿大约3×5cm,口底粘膜切口长约4cm,缝线5针,切口处不断出血。舌体后退,上、下唇发绀。诊断:舌下腺囊肿术后失血性休克并发阻塞性窒息。处理:牵引舌体,急送手术室。在作舌下区止血术中,呼
Patient Sun × ×, male, 38 years old. Hospital number 45956. Patients 2 hours before admission, under the anesthesia in a hospital under the right sublingual gland cyst excision, bleeding more than by multi-stop bleeding, go to our clinic. Check: F38.2 ℃, R24 times / min, P115 beats / min, BP80 / 60mmHg, patients with irritability, sweating body, limbs, skin wet and cold, light pressure nails pale, difficulty breathing, . The right side of the mouth hematoma about 3 × 5cm, mouth mucosal incision about 4cm, suture 5-pin, incision bleeding. Tongue body receding, upper and lower lip cyanosis. Diagnosis: Hemorrhagic shock with subacute cyst after obstructive asphyxia. Treatment: traction tongue, emergency surgery room. In the sublingual hemostasis, call