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31. Un niño de 13 años fue golpeado por un automóvil cuando intentaba cruzar una vía rápida. Lo transfirieron al departamento de urgencias después de haber sido intubado por esfuerzo respiratorio inadecuado, se le administro una carga de solución salina normal a 20 ml/kg. En la evaluación inicial, el paciente se encuentra con FR 6 x', FC 50 x', TA 150/100 mmHg.Los datos clínicos encontrados en el paciente se explican por la presencia de:

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