Male, 38 years old, admitted to the hospital 2 hours after a car accident resulting in left thigh compression injury and left middle and lower femur fracture. When admitted, the complexion was pale, the limbs were wet and cold, the pulse was weak,...-Go服务器开发

The patient was in the compensatory stage of shock upon admission. Criteria for judgment include pale complexion, cold and wet limbs, weak pulse, low blood pressure (⁸⁄₅.3Kpa), rapid heart rate (140 beats per minute), increased breathing rate (28 breaths per minute), and signs of severe injury such as open wound on the left thigh with muscle damage and bleeding.
The patient experienced hypoxia upon admission, which is tissue hypoxia due to insufficient oxygen delivery to tissues. This can be inferred from the indifferent expression, increased breathing rate, and decreased PaO2 levels in the blood gas analysis (6.65 Kpa or 50mmHg).
The postoperative normalization of blood volume and pressure but decreased urine output may be due to kidney dysfunction or acute kidney injury, as indicated by elevated blood creatinine levels (2400mmol/L) and blood urea nitrogen levels (18mmol/L).
On the fourth day after surgery, the sudden difficulty breathing suggests respiratory failure. It is characterized by respiratory acidosis based on the blood gas analysis showing low pH (7.15) with high PaCO2 levels (4.6 Kpa or 35mmHg).
The patient has electrolyte imbalance and metabolic acidosis based on the elevated potassium levels (17.8mmol/L) indicating hyperkalemia and metabolic acidosis with low pH (7.15) and low bicarbonate levels (13mmol/L).

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Male, 38 years old, admitted to the hospital 2 hours after a car accident resulting in left thigh compression injury and left middle and lower femur fracture. When admitted, the complexion was pale, the limbs were wet and cold, the pulse was weak,...