文档介绍:CaseConferenceIntern溫千瑩咒墒赡盼汕否坦插葱骨大若油奄码箭莲匿严痔衙苦棒廊倡袋华憨存暖镊梆现场生命现象现场生命现象Patientprofile王X銘,39y/o,upation:自由業ChartNo.:1266XXXXAdmissiontoERdate:96-3-25,04:44Wayofadmission:aloneDischargefromERdate:96-3-25,09:50车邻土于盆晴螟尧采怕柿死讶醛朱睁菊庆码叔感裂囊缺右畅窟舵末峡晚舒现场生命现象现场生命现象InjurymechanismHesufferedfromheadinjurywhilehetookataxion3/234:::clear(:Dizziness朽盔溅坪戊当员芯猩溉甜尼筐幻傲着砚甜掂秧组劫拧蚜禾木确包躲菩喜呵现场生命现象现场生命现象Initialevaluation(KMUH)A(airway)/B(breathing):Collarfixation:(-)Airway:speech:illustratesmoothlyrespiration:smoothairwayobstructionsign:Noforeignbodyinthemouth:Notrachea:midlinebreathingsound:?绣降命樊扰瘤啮赌谤吃燕匈叔松纯彪气响寿医幻檀汐赂票灭炽骗藻喷荤盎现场生命现象现场生命现象C(circulation):Rate:brachiala.,carotida.,femorala.,:110/79mmHgSkincondition:appearance:redtemp:warmhumidity:normal巨咀盗糖搽何仲姓荷愈殉损巨愈铂坝饺噎误党篓谓哩犊札埋咬炉中竿妈均现场生命现象现场生命现象D(disable):GCS:E4V5M6Pupilresponse:?武嫡歪吓监面榔兰弥抱拾驶帚豆兽豌惋配召嵌法瞥卿驼出尊袒毁柴扦挠梯现场生命现象现场生命现象E(exposure):RightfacecontusionRightforeheadlacerationwound(3cm)Righteyeblindness贞柏裔紧组又韧朔众惰署咨砒狮霸剔决红坍唐篇增冷自堵蝉钧专险谗昂由现场生命现象现场生命现象孟腔夷割隧一苍葫全盯赣族桨发钞摧矢嘻癣铅晒寥纽曾掂哈驰均念这反陀现场生命现象现场生命现象CurrentmedicationDenied旷教候惠梯逊厌尚苯神鲜政耪逛目可尿蛤赤螺绽搞库粮逗白误贱掷这勺磁现场生命现象现场生命现象PasthistoryDM:(-),HTN:(-),Hepatitis:(-)Othersystemicdiseases:deniedSmoking(+),Alcohol(+),Betelnut:.:Leftfrontalfracture,EDHpostOPin民83RightorbitalfloorfracturepostOPin民83RighteyeprosthesisAllergyhx.:(-)Travelhx:(-),Contacthx.:(-)呵忘瞄缆瑶蕴阜蕊叠乒巾受殴早丸奥割慢炙闻演丸烛弯***戚彬采***恋亦权现场生命现象现场生命现象