锁骨近端骨折伴胸锁关节半脱位漏诊1例
Clinical Journal of Medical Officers（2013）
Abstract
<正>病人,男,13岁。因摔伤致右胸锁部肿痛2 h就诊,急诊摄胸部平片未见明显异常,遂建议患者回家休息,因肿痛无缓解,次日再次就诊,查体:右胸锁关节肿胀,压痛(+),双侧胸锁关节不对称,右胸锁关节稍突起,下压有弹性感,右锁骨纵轴叩击痛(+);CT示:右锁骨近端骨折,断端累及胸锁关节面,胸锁关节向前半脱位;诊断:右锁骨近
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