Oklahoma City: LeBron James scored a game-high 33 points despite having his nose bloodied and being knocked to the floor in the fourth quarter of Miami’s 103-81 victory at Oklahoma City on Thursday.

The two-time defending champions Heat avenged a 112-95 loss to the Thunder last month in Miami, trailing only 66 seconds in the entire game but still having cause for worry when James went down.

James, who made 15-of-22 shots from the floor in 33 minutes, dribbled up the middle past a defensive double team midway into the fourth quarter when he was struck by Spanish big man Serge Ibaka of the Thunder.

Four-time NBA Most Valuable Player James kept going, slamming the ball into the hoop before sprawling on the floor beneath the basket.

James lay dazed for most of the next minute. Blood was visible on the court and, when James rolled over, it became clear his nose had been bloodied. He was helped up and went to the locker room holding a towel on his nose with the Heat ahead 90-74.

“He got hit pretty good,” Heat coach Erik Spoelstra said.

James passed a concussion test and a doctor examined James’ nose and found it was not broken.

The doctor said X-rays were not needed but James will likely be examined again on Friday, when the Heat return to Miami ahead of a Sunday game against Chicago.

Miami’s Dwyane Wade and Chris Bosh each scored 24 points, Wade adding 10 assists and Bosh contributing eight rebounds.

James added seven rebounds and four steals, sparking Miami to an early lead with solid offensive and defensive efforts.

“LeBron set the tone with his game,” Bosh said.