[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fl9mEUB2pKBUjK-hWXTiof-NfVmAngfq0M3dMP9DXu_4":8,"$fecFyOvhcnE8lQ9yeevAnRM2TmuBZEh1vtPbC1w77CJk":17,"$f-AyqxaFavD1O3n_aPwnXyHgkPGPDL8yD8u-jKejcVVM":21,"$fCmvtuywlFmpv50mIlfpJ9zLiNYXCPar9vS7JbSJz0Bc":97},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":16},200,"操作成功",{"pageNo":12,"pageSize":13,"result":14,"totalSize":15},1,10,[],0,true,{"code":9,"msg":10,"message":6,"data":18,"success":16},{"authors":19,"appraiseDimensionScoresVos":20},[],[],{"code":9,"msg":10,"message":6,"data":22,"success":16},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"roleType":15,"adept":28,"hospital":29,"department":6,"postsTitle":30,"materialTotal":15,"videoTotal":31,"isConcern":7,"title":32,"coverVertical":33,"coverAcross":34,"directionMarker":35,"description":36,"vid":37,"time":38,"mediaType":12,"views":39,"likes":15,"isThumbsUp":7,"isCollection":7,"collections":15,"createTime":40,"seoTitle":32,"seoKeywords":41,"seoDescription":42,"shelvesTime":43,"menus":44,"menuId":85,"type":35,"quality":95,"commentCount":15,"isComment":12,"deviceType":48,"url":96},32340,1043791,[],"https://ystcdn.venuertc.com/venue/app/49944/2026-08-14/2f4a12eb-63a9-44be-9a86-26c46ebbe05d.png","吉九威","擅长消化道肿瘤（胃肠癌，肝癌，胰腺癌，胆管癌等）的微创手术治疗和系统治疗。","内蒙古医科大学附属人民医院","副主任医师",8,"胰腺癌误当胃痛，区别在哪","https://ystcdn.venuertc.com/venue/ai-cover/cover_vertical/d954f5f3-0329-4003-a0e4-75a8a73271ad.png","https://ystcdn.venuertc.com/venue/ai-cover/cover_horizontal/c1c4a9b4-e447-44b2-ba65-192d1f9641a7.png",2,"\u003Cbr>\u003Cdiv class=\"jwpc-script-card\">\n  \u003Ch1 id=\"material_title\">胰腺癌误当胃痛，区别在哪\u003C/h1>\n\n  \u003Csection class=\"jwpc-section\">\n    \u003Ch2>胃痛反复别只盯胃\u003C/h2>\n    \u003Cdiv class=\"jwpc-content\">\n      \u003Cp>很多人把胰腺癌早期不舒服当成胃痛，这期我们好好聊聊胰腺癌易误诊为胃痛的鉴别要点。\u003C/p>\n      \u003Cp>我是内蒙古医科大学附属人民医院肝胆胰腺外科吉九威。胃痛很常见，多数和胃炎、胃溃疡、饮食不规律有关，但有些“胃痛”其实可能来自胰腺，尤其是位置深、说不清、反复拖的上腹痛，需要多留个心眼。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"jwpc-section\">\n    \u003Ch2>胰腺癌胃痛有三处不同\u003C/h2>\n    \u003Cdiv class=\"jwpc-content\">\n      \u003Cp>胰腺癌和普通胃痛，临床上常有三处不同。记住这三点，不是让大家自己诊断胰腺癌，而是提醒什么时候该进一步检查。\u003C/p>\n      \u003Cp>第一，看疼痛位置。普通胃痛多在上腹正中，常和吃饭、反酸、烧心有关；胰腺癌相关疼痛有时也在上腹，但常说不清位置，像一块地方闷胀、隐痛，还可能往后背放散。\u003C/p>\n      \u003Cp>第二，看疼痛规律。胃炎、胃溃疡引起的胃痛，常和空腹、进食、辛辣刺激有关，用护胃治疗后可能缓解；胰腺癌相关疼痛有时夜里更明显，躺平不舒服，弯腰或蜷着会稍微轻一点。\u003C/p>\n      \u003Cp>第三，看伴随变化。如果“胃痛”同时出现不明原因体重下降、食欲明显变差、皮肤或眼睛发黄、大便颜色变浅、尿色加深，就不能只按胃病处理。这些表现不等于就是胰腺癌，也可能和胆道结石、肝胆疾病有关，但都需要检查清楚。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"jwpc-section\">\n    \u003Ch2>持续上腹痛先查这些\u003C/h2>\n    \u003Cdiv class=\"jwpc-content\">\n      \u003Cp>如果上腹痛持续两周以上，按胃痛处理效果不好，建议到消化科或肝胆胰腺外科就诊，重点说明疼痛位置、是否放射到背部、和吃饭有没有关系。\u003C/p>\n      \u003Cp>检查上，不要只满足于“吃点胃药看看”。医生可能会根据情况安排腹部超声、肝胆胰脾胰腺相关检查、增强CT或磁共振，以及必要的肿瘤标志物检查。胰腺位置比较深，就像藏在胃后面的器官，普通胃镜看不到胰腺本身，所以胃镜正常，并不代表胰腺一定没问题。实际判断还要结合影像和医生查体。\u003C/p>\n      \u003Cp>不建议反复自行买药，把长期上腹痛都当胃炎；也不建议看到肿瘤标志物轻度异常就自己吓自己，因为炎症、胆道问题也可能影响结果，关键是让医生综合判断。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"jwpc-section\">\n    \u003Ch2>这些人群更该留意\u003C/h2>\n    \u003Cdiv class=\"jwpc-content\">\n      \u003Cp>有些人出现类似胃痛时，更应该把胰腺癌易误诊为胃痛这件事放在心上。比如中老年人、新近出现血糖异常的人、长期吸烟饮酒的人、反复胰腺炎病史的人，或者家族里有人患过胰腺癌的人。\u003C/p>\n      \u003Cp>这些情况并不说明一定会得胰腺癌，但如果同时出现持续上腹痛、背部牵扯痛、体重下降或黄疸，建议尽早做针对胰腺的检查。越早把胃痛和胰腺问题分清楚，后面的诊疗越有主动性。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"jwpc-section\">\n    \u003Ch2>胃痛背后要分清来源\u003C/h2>\n    \u003Cdiv class=\"jwpc-content\">\n      \u003Cp>最后记住一句话：反复“胃痛”不一定都是胃的问题，胰腺癌有时会披着胃痛的外衣出现。\u003C/p>\n      \u003Cp>疼痛往背部放散、夜间明显、伴随消瘦或黄疸时，别长期自己扛，也别只盯着胃药，找医生把胰腺癌和胃痛的鉴别做清楚。\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n  .jwpc-script-card {\n    max-width: 760PX;\n    margin: 0 auto;\n    padding: 22PX;\n    border-radius: 22PX;\n    background: linear-gradient(180deg, #f7fbff 0%, #ffffff 45%, #f8fafc 100%);\n    box-shadow: 0 10PX 30PX rgba(15, 23, 42, 0.10);\n    font-family: \"PingFang SC\", \"Microsoft YaHei\", Arial, sans-serif;\n    color: #1f2937;\n    line-height: 1.78;\n  }\n\n  #material_title {\n    margin: 0 0 20PX 0;\n    padding: 18PX 20PX;\n    border-radius: 18PX;\n    background: linear-gradient(135deg, #dbeafe 0%, #eef6ff 55%, #f6f7ff 100%);\n    color: #17324d;\n    font-size: 24PX;\n    font-weight: 700;\n    letter-spacing: 0.5PX;\n    text-align: center;\n  }\n\n  .jwpc-section {\n    margin: 18PX 0;\n    padding: 0;\n    border-radius: 18PX;\n    overflow: hidden;\n    background: #ffffff;\n    border: 1PX solid #e5edf5;\n  }\n\n  .jwpc-section h2 {\n    margin: 0;\n    padding: 13PX 18PX;\n    font-size: 18PX;\n    font-weight: 700;\n    color: #24415f;\n    background:\n      radial-gradient(circle at 12% 20%, rgba(147, 197, 253, 0.38) 0PX, rgba(147, 197, 253, 0.38) 24PX, transparent 25PX),\n      radial-gradient(circle at 86% 50%, rgba(187, 247, 208, 0.34) 0PX, rgba(187, 247, 208, 0.34) 28PX, transparent 29PX),\n      linear-gradient(135deg, #eef6ff 0%, #f8fbff 100%);\n  }\n\n  .jwpc-section h2::before {\n    content: \"🩺\";\n    margin-right: 8PX;\n    font-size: 18PX;\n  }\n\n  .jwpc-content {\n    padding: 16PX 18PX 18PX 18PX;\n    background: rgba(255, 255, 255, 0.96);\n  }\n\n  .jwpc-content p {\n    margin: 0 0 12PX 0;\n    font-size: 16PX;\n  }\n\n  .jwpc-content p:last-child {\n    margin-bottom: 0;\n  }\n\u003C/style>","v0d47cg10004dar4q8i7dldc914l7hm0",233,567,"2026-09-02 16:43:48","胰腺癌, 胃痛, 胰腺癌误诊为胃痛, 胰腺癌早期症状, 胃痛和胰腺癌的区别, 后背痛, 黄疸, 上腹痛, 胰腺癌检查, 医生科普","别再错把胰腺癌当胃痛！本文由肝胆胰腺外科医生详解3大鉴别要点：疼痛位置、规律及伴随症状。反复上腹痛、背痛、消瘦、黄疸？教你如何区分，避免延误治疗。","2026-09-27 00:46:00",[45,66,84],{"menuId":46,"menuName":47,"parentId":15,"orderNum":48,"path":49,"component":50,"isFrame":51,"isCache":52,"menuType":53,"visible":12,"status":15,"createDept":6,"remark":54,"createTime":55,"children":56,"columnImage":57,"columnLogo":58,"uncheckedLogo":59,"checkedLogo":60,"isHot":12,"isHome":15,"forceLogin":15,"color":61,"seoTitle":62,"seoKeywords":63,"seoDescription":63,"contentNum":6,"promotionalPoster":64,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":65,"routerPath":49,"componentInfo":50},"1997925012023775234","热门频道",4,"column","/column/tcm_index.html","1","0","T","","2025-12-08 15:03:37",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:18/ef345cdc-bb06-4db5-b74d-6ecfafabe83e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:21/81815950-9711-4b40-8543-421bd7701d0f.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:32/99452289-a401-4ab2-ae91-2a1a1f7442d1.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:29/f52b1198-7225-4f72-89f3-605e6a14f530.png","#42a5f6","sadf","asdf","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:25/cf4f002d-c534-4c28-b405-a2e504dc5188.png","Column",{"menuId":67,"menuName":68,"parentId":46,"orderNum":69,"path":70,"component":71,"isFrame":51,"isCache":52,"menuType":53,"visible":12,"status":15,"createDept":6,"remark":54,"createTime":72,"children":73,"columnImage":74,"columnLogo":75,"uncheckedLogo":76,"checkedLogo":77,"isHot":15,"isHome":15,"forceLogin":15,"color":78,"seoTitle":79,"seoKeywords":80,"seoDescription":81,"contentNum":6,"promotionalPoster":82,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":83,"routerPath":70,"componentInfo":71},"1989172310225670145","公益项目",6,"public","/column/public_index.html","2025-11-14 11:23:30",[],"https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:13/1b7a5e2b-9e7d-4769-851f-1c55c481fa82.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:18/b79a0a5e-411c-4282-8eaf-86fcc7e492bf.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:17/6f411ecf-82d8-4fb5-9371-fa7faba2cb8f.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:16/93f832c4-2264-4094-88fd-6fd80c8d9369.png","#80cbc4","健康科普工公益行——携手共建健康未来","健康,科普,公益行,健康知识,公众健康,社会健康,健康活动,健康意识","健康科普工公益行活动,传播健康知识,提高公众健康意识,共同促进社会健康发展,关注您和家人的健康！","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:12:46/1f2ac83a-c564-4aeb-ad97-5b5c4f09bfa5.png","Public",{"menuId":85,"menuName":86,"parentId":67,"orderNum":69,"path":87,"component":88,"isFrame":51,"isCache":52,"menuType":53,"visible":12,"status":15,"createDept":6,"remark":54,"createTime":89,"children":90,"columnImage":91,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":15,"isHome":15,"forceLogin":15,"color":6,"seoTitle":86,"seoKeywords":92,"seoDescription":93,"contentNum":6,"promotionalPoster":6,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":94,"routerPath":87,"componentInfo":88},"2047224557296840705","“健康中国-医路相伴健康同行”肿瘤领域科普传播计划","publicTFPAPP","/column/public_publicTFPAPP","2026-04-23 16:02:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-04-23-15:59:55/812f101e-9b62-472f-b155-2cb356602a89.png","肿瘤科普、癌症科普、肿瘤防治、科学抗癌、健康中国科普、医路相伴健康同行","响应 \"健康中国 2030\" 战略，\"健康中国 - 医路相伴健康同行\" 肿瘤领域科普传播计划，联合权威医学专家，提供肿瘤预防、筛查、治疗、康复全周期科学科普内容，普及抗癌知识，破除健康误区，助力全民肿瘤防治素养提升。","PublicTFPAPP","癌症肿瘤","https://vod.haohuanjiao.com/huanjiao/specialistVideo/1043791/d8df19f3-eb68-4ecf-8a13-f87296b6e702.tmp?a=0&auth_key=1793090506-a85052fbadb3407185b2e3705dc1532d-0-fddf17ae9ba8e6ab5dd2bf01f1a524a2&br=654&bt=654&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0d47cg10004dar4q8i7dldc914l7hm0&er=0&l=202609270637471C75F2F269073FEB71A7&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M2tvNGZvOjs3ZDczNGY3M0ApcDo3PGdnbHR1ZzMzajpneWdqNDE2YWFmbm9hLS1kNGFzcy1laS5gaTQ1MV4xLS5gMS06Yw%3D%3D&vl=&vr=",{"code":9,"msg":96,"message":6,"data":6,"success":16}]