典型病例 Olsen R,男,14岁。参加夏令营活动,在弓箭训练场不慎在20码处被他人用弓箭箭头从左背部近肩胛骨处射入胸腔。生命体征:P112,B_P98/68,R26,轻度费力,皮肤苍白、湿而凉。胸壁不对称运动。箭头穿入皮肤处有少量血液。气管居中,可排除张力性气胸。左下叶肺呼吸音消失,心音清晰,律齐,神清,感觉伤口疼痛,四肢无运动障碍,无麻木或刺痛感。 Typical case Olsen R, male, 14 years old. Participate in summer camp activities, bow and arrow training ground accidentally at 20 yards by others bow arrows from the left back near the scapula at the chest. Vital signs: P112, B_P98 / 68, R26, light and laborious, pale skin, wet and cool. Asymmetric chest wall movement. The arrow pierces the skin with a small amount of blood. Tracheal center, can exclude tension pneumothorax. Left lower respiratory breath sounds disappear, clear heart sound, law Qi, clear, feeling the wound pain, limbs without movement disorders, no numbness or tingling.