患者 ×××,男性,64岁。住院号3229。身体素健。1981年11月27日18时,其所乘坐的马车在公路上与一汽车相撞,汽车上装载的汽油桶被泄漏,汽油溅向马车,汽油由患者的颈部流向后驱、腰、臀部及双下肢,浸透衣裤。28日3时(出事后9小时)送住院。 查体:体温36.8℃,脉搏70次/分,血压140/90mmHg,呼吸16次/分。神志清醒,精神萎靡,轻度烦躁,四肢末梢发凉,全身颤抖。五官及心肺未见异常。身上有强烈的汽油味。右额部外伤作包扎处理。皮肤创面:后驱干、双下肢曲侧及两侧表皮大面积脱落,约占体表面积的35％,基底赤红,渗液多,温低。 实验室检查:血红蛋白10g％,白细胞6,000/ Patient × × ×, male, 64 years old. Hospital number 3229. Body Su Jian. At 1800 hours on 27 November 1981, the carriage on board the vehicle collided with a car on the road. The petrol drum loaded on the vehicle was leaked and the gasoline was splashed onto the carriage. The petrol ran from the neck of the patient to the rear, waist and buttocks And double lower limbs, soaked underwear. At 3:00 on the 28th (9 hours after the accident) to hospital. Physical examination: body temperature 36.8 ℃, pulse 70 beats / min, blood pressure 140 / 90mmHg, breathing 16 beats / min. Conscious, apathetic, mild irritability, extremities cool, trembling body. No abnormalities in facial features and heart and lungs. The body has a strong smell of gasoline. Right forehead trauma for bandaging. Skin wounds: After driving dry, both sides of the lower extremity flexor side and a large area off the epidermis, accounting for about 35% of the body surface area, the base red, exudate and warm low. Laboratory tests: hemoglobin 10g%, white blood cells 6,000 /