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【简答题】
青年女性,从事编辑工作5年,颈肩部酸胀不适2年余。患者自觉近来症状加重,头颈部如何放置都出现酸胀不适,严重出现颈椎活动明显受限。根据患者发病特点考虑诊断为A、脊髓型颈椎病 B、颈型颈椎病 C、神经根型颈椎病 D、枕大神经痛 E、落枕 该患者可能的阳性体征是A、颈椎牵引试验阳性 B、神经根牵拉试验阳性 C、棘突间及椎旁有压痛 D、Hoffmann征阳性 E、单侧上肢肌力减弱 若该患者行颈椎MRI检查,可能出现的异常为A、颈椎间盘突出 B、颈椎黄韧带肥厚 C、颈椎生理曲度变直或反曲 D、颈椎脊髓信号改变 E、颈椎骨质增生明显 该患者不需要的治疗A、注意休息,适当活动颈椎 B、改变生活与工作中的不良姿态及体位,调整姿势 C、必要行药物辅助治疗 D、急性期需要行手术治疗 E、物理治疗
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