{"id":8886,"date":"2025-06-12T15:47:10","date_gmt":"2025-06-12T07:47:10","guid":{"rendered":"https:\/\/wp-cc.meddatas.com\/?p=8886"},"modified":"2025-09-16T13:47:32","modified_gmt":"2025-09-16T05:47:32","slug":"20240522-%e8%94%a1%e8%af%91%e8%90%b1-an-82-year-old-woman-was-admitted-to-this-hospital-because-of-difficulty-walking-falls-and-cognitive-decline","status":"publish","type":"post","link":"https:\/\/wp-cc.meddatas.com\/?p=8886","title":{"rendered":"\u3010Case Listen and Say\u30112024-N Engl J Med- An 82-Year-Old Woman with Falls and Cognitive Decline"},"content":{"rendered":"

\u6c47\u62a5\u4eba\uff1a\u8521\u8bd1\u8431\uff1b\u6c47\u62a5\u65f6\u95f4\uff1a2024.05.22<\/strong><\/p>\n

\"\"<\/p>\n

Case 11-2024: An 82-Year-Old Woman with Falls and Cognitive Decline<\/h4>\n

N Engl J Med 2024;390:1312-22.(DOI: 10.1056\/NEJMcpc2312725)<\/h4>\n
    \n
  • <\/b>\u4e3b\u8bc9\u4e0e\u73b0\u75c5\u53f2<\/b><\/strong><\/li>\n<\/ul>\n

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      \n
    • <\/b>\u65e2\u5f80\u53f2\u4e0e\u4e2a\u4eba\u53f2<\/b><\/strong><\/li>\n<\/ul>\n
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      3. \u5bb6\u65cf\u53f2\uff1a\u6bcd\u4eb2\u60a3\u6709\u7cd6\u5c3f\u75c5\uff0c\u7236\u4eb2\u60a3\u6709\u7532\u72b6\u817a\u764c\uff1b\u6ca1\u6709\u5df2\u77e5\u7684\u75f4\u5446\u75c7\u6216\u795e\u7ecf\u9000\u884c\u6027\u75be\u75c5\u7684\u5bb6\u65cf\u53f2\u3002<\/li>\n<\/ol>\n
          \n
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          2. \u80a9\u90e8\u3001\u8155\u90e8\u3001\u624b\u8098\u3001\u811a\u8e1d\u548c\u819d\u76d6\u7684\u6d3b\u52a8\u53d7\u9650\u3002\u53f3\u624b\u3001\u53f3\u819d\u3001\u53cc\u8db3\u538b\u75db\u3002\u638c\u6307\u5173\u8282\uff08MCP\uff09\u548c\u8fd1\u7aef\u6307\u95f4\u5173\u8282\uff08PIP\uff09\u51fa\u73b0\u5bf9\u79f0\u6027\u7684\u7ea2\u6591\u3001\u80bf\u80c0\u548c\u538b\u75db\u3002\u8dd6\u8dbe\u5173\u8282\uff08MTP\uff09\u80bf\u80c0\u548c\u75bc\u75db\u3002\u7531\u4e8e\u75bc\u75db\uff0c\u8be6\u7ec6\u7684\u808c\u529b\u68c0\u67e5\u53d7\u5230\u9650\u5236\u3002<\/li>\n<\/ol>\n
              \n
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              2. \u5f71\u50cf\u5b66\uff1a\u5934\u9885MRI\uff082\u5468\u524d\uff09\uff1a\u4e2d\u7b49\u7a0b\u5ea6\u7684\u6162\u6027\u5c0f\u8840\u7ba1\u7f3a\u8840\u6027\u53d8\u5316\u548c\u8111\u5ba4\u6269\u5927\u3002\u5934\u90e8CT\uff1a\u663e\u793a\u4e2d\u5ea6\u8111\u5ba4\u6269\u5927\u3002\u7cbe\u795e\u72b6\u6001\u6539\u53d8\u88ab\u8ba4\u4e3a\u662f\u7531\u4e8e\u4f7f\u7528\u66f2\u9a6c\u591a\u548c\u5c3f\u8def\u611f\u67d3\u5f15\u8d77\u7684\u8c35\u5984\u6240\u81f4\u3002\u810a\u67f1 MRI\u65e0\u5f02\u5e38\u3002<\/li>\n
              3. \u808c\u7535\u56fe\uff1a\u53f3\u80eb\u795e\u7ecf\u523a\u6fc0\u65f6\u590d\u5408\u808c\u8089\u52a8\u4f5c\u7535\u4f4d(CMAP)\u7684\u5e45\u5ea6\u6b63\u5e38\uff0c\u800c\u5de6\u80eb\u795e\u7ecf\u548c\u53cc\u8153\u603b\u795e\u7ecf\u523a\u6fc0\u65f6\u5219\u964d\u4f4e\uff1b\u6b64\u5916\uff0c\u5de6\u5c3a\u795e\u7ecf\u7684CMAP\u8f7b\u5ea6\u964d\u4f4e\uff0c\u5de6\u6b63\u4e2d\u795e\u7ecf\u7684CMAP\u6b63\u5e38\u3002\u4f20\u5bfc\u901f\u5ea6\u548c\u672b\u7aef\u6f5c\u4f0f\u671f\u5747\u6b63\u5e38\u3002\u808c\u8089\u90fd\u6ca1\u6709\u5f02\u5e38\u7684\u81ea\u53d1\u6d3b\u52a8\u3002<\/li>\n<\/ol>\n
                  \n
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                  1.\u7cfb\u7edf\u6027\u8840\u7ba1\u708e\uff1a<\/p>\n

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                  4.\u5176\u4ed6\u53ef\u80fd\u6027\uff1a<\/p>\n

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