1病例报告患者男,20岁。因右胸部枪击伤30min来院就诊。入院查体:血压70/50mmHg,呼吸32次/min,浅昏迷,面色苍白,四肢湿冷,右胸第4肋间锁骨中线外0.5cm可见一2cm×1cm入口,右肩胛部可见2cm×3cm出口,边缘不整、有明显灼伤,有活动性出血,右胸皮下气肿。立即采用厚纱垫封闭伤口,直接送 1 case report patient male, 20 years old. The right chest shot injury 30min to the hospital. Admission examination: blood pressure 70 / 50mmHg, breathing 32 beats / min, shallow coma, pale, limbs cold, right chest 4 intercostal clavicle 0.5cm outside the midline can be seen a 2cm × 1cm entrance, right scapular 2cm × 3cm visible exit , The edge of the whole, there is a significant burn, active bleeding, right chest subcutaneous emphysema. Immediately use thick gauze pad to close the wound, send it directly